Abstract

Fracture neck of femur (NoF) is a rare injury but represents a serious condition in low-income countries. It results from major or minor-repetitive trauma(s) or from different pathological conditions such as parathyroid or renal dysfunction, antiepileptic medication, seizure and tumors. Similarly to other hip fractures, the diagnosis of this condition can be missed where management becomes more complicated. The present study was conducted in a country with low socioeconomic status to assess the prognosis of such injury.

Highlights

  • Fracture neck of femur (NoF) is a rare injury but represents a serious condition in low-income countries

  • Patients and methods: Six patients suffering from neglected fracture NoF were observed

  • Renal dysfunction presents a risk factor for NoF as it causes hypocalcaemia that even delays the union of the fracture [3]

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Summary

Introduction

Fracture neck of femur (NoF) is a rare injury but represents a serious condition in low-income countries. It results from major or minor-repetitive trauma(s) or from different pathological conditions such as parathyroid or renal dysfunction, antiepileptic medication, seizure and tumors. Few case reports in literature have described this injury to be a result of high-energy, major or multiple minor trauma(s), seizure or electric shock [1,2]. It is common in patients with severe osteoporosis, metabolic diseases and other pathological conditions that affect bone structure and quality. Osteonecrosis of the femoral head following fracture NoF may occur due to the increased interosseous pressure in the femoral head which ends up with bone death [4]

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