injuries poisoning
Hip Fractures
Femoral neck fractures
Nondisplaced and impacted femoral neck fractures in older patients and all femoral neck fractures in younger patients are typically treated with ORIF. Displaced femoral neck fractures in older patients are usually treated with hip arthroplasty (replacement) to allow early unrestricted weight-bearing and to minimize the likelihood that additional surgery will be required. Older patients who walk very little and thus put little stress on the hip joint are usually treated with hemiarthroplasty (only the proximal femur is replaced); more active older patients are increasingly being treated with total hip arthroplasty (the proximal femur is replaced, and the acetabulum is resurfaced). Total hip arthroplasty surgery is more extensive and poses greater risk but results in better function. Intertrochanteric fractures are usually treated with ORIF (see figure Open reduction with internal fixation (ORIF) . 1.Haines L, Dickman E, Ayvazyan S, et al: Ultrasound-guided fascia iliaca compartment block for hip fractures in the emergency department.J Emerg Med43 (4):692–697, 2012. doi: 10.1016/j.jemermed.2012.01.050 