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Year : 2021  |  Volume : 41  |  Issue : 2  |  Page : 53-57

Surgical and nonsurgical treatments for proximal femur fractures: A narrative review

Mobility Impairment Research Center, Health Research Institute, Babol University of Medical Sciences; Clinical Research Development Center, Shahid Beheshti Hospital, Babol University of Medical Sciences; Department of Orthopedics, School of Medicine, Babol University of Medical Sciences, Babol, Mazandaran, Iran

Correspondence Address:
Dr. Masoud Bahrami Frydoni
Department of Orthopedics, Babol University of Medical Sciences, Ganjafrooz Street, Babol, Mazandaran
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmedsci.jmedsci_178_19

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The number of proximal femoral fractures is increasing due to traumatic injuries, falls, and heavy exercises. In femoral neck fractures, a number of screws or a device called dynamic hip screw (DHS) are commonly used to fix the fractured hip. In intertrochanteric fractures, DHS or intramedullary nailing (IMN) is usually used to fix the fracture. In subtrochanteric fractures, IMN is usually used to fix the fracture. An orthopedic physician may decide not to perform the surgery only in patients who do not tolerate surgery due to severe and advanced comorbidities or patients who could not walk even before fracture. Rarely, in some types of hip fractures that are completely stable and nondisplaced, the physician may decide to use nonsurgical treatments, mostly bed-rest at home. However, this type of treatment is associated with the risk of further fracture displacement, during the rest period. If a nonsurgical treatment is chosen, strict follow-ups and frequent radiographies should be performed for the patient's fractures so that the physician can be informed if fractures are dislocated and, if necessary, perform surgery on the patient.

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