S.P Nailing for Fracture Neck Femur

Introduction
A fractured neck of femur is a serious injury, especially in older people. The most common symptom of a femoral neck fracture is the pain in the groin that worsens when the patient puts weight on the hip or tries to rotate the hip.

A femoral neck fracture is usually caused when the top part of the leg bone is broken, just below the ball and socket joint. When this fracture occurs, it will tear the blood vessels and cut off the blood supply to the femoral head.

If the blood supply to the femoral head is lost, the bone tissue will die leading to the eventual collapse of the bone. Replacement of the femoral head is the standard repair for a displaced fracture where the blood supply is disrupted. If there is no displacement, then the fracture will be surgically stabilized with screws or other hardware.

Types of Femur Fracture

The common types of femur fracture are:

• Intracapsular Fracture
  In this injury, the ball on the top of the leg bone has broken off at its junction with the neck of the upper thighbone, within the hip joint. It is possible to re-attach the ball, but it is usually removed and replaced with half a hip replacement or a total hip replacement.
• Extracapsular Fracture
  This break is further down the femur, outside the hip joint and is fixed using metal work.

Symptoms
Patients with a femur fracture experience the following symptoms:

• Cannot move the leg or stand
• Swelling in the hip area
• There might be bleeding from an open wound if the bone breaks through the skin
• A change in the shape of the thigh bone area
• Hematoma or severe bruising in the area of the fracture
• Muscle spasms in the thigh
• Numbness, tingling in the thigh or leg

Treatment
The doctor will recommend an orthopedic implant, which is a prosthetic device that is used to replace a missing joint, a bone or to support a damaged bone. It is usually manufactured using stainless steel and titanium alloys for the strength and the plastic coating will act as artificial cartilage.

S.P. Nailing Orthopedic is an orthopedic implant. It is shaped like a three-flanged, stainless steel nail and can be used to anchor the neck of the femur to its head, in orthopedic surgery. This is usually used to repair an intertrochanteric fracture. It is usually placed below the prominence of the greater trochanter and then passed through the fractured part of the femur’s head.

The doctor will employ a procedure called Internal fixation. It uses metal pins or screws to hold the bone together so that the fracture can heal. The pins or screws can be inserted into the bone, or the screws may be attached to a metal plate that runs along your femur.