• Felix OthoCare
• March 19, 2025

The femur, commonly known as the thigh bone, is the longest and strongest bone in the human body, playing a crucial role in mobility and weight-bearing functions. A fracture in the neck of the femur can be a serious medical condition, often requiring immediate attention. Such fractures are particularly concerning in elderly individuals, individuals with osteoporosis, and those who have experienced significant trauma. Seeking treatment at the best orthopedic hospital in Noida ensures the best possible outcomes for patients suffering from this condition.

 

If you or a loved one is experiencing hip pain or mobility issues, consult our expert orthopedic doctors by Calling +91 9667064100.

 

Who is at Risk?

Several groups of people are at an increased risk of suffering from a femoral neck fracture. These include:

• Elderly Individuals – As people age, bones tend to become weaker, and the risk of falls increases due to balance issues and reduced muscle strength. These factors contribute to a higher incidence of fractures.
• Osteoporosis Patients – Osteoporosis is a condition that causes bones to lose density and become brittle. Individuals with osteoporosis are at a significantly higher risk of fractures, even from minor falls or impacts.
• Athletes and Sportspersons – Those engaged in high-impact sports such as running, football, or gymnastics may suffer from femoral neck fractures due to sudden forceful movements or collisions.
• Accident Victims – Road traffic accidents, falls from significant heights, and other severe trauma can cause fractures in the femur, often leading to serious complications.

 

Causes of Fracture Neck Femur

Understanding the causes of femoral neck fractures helps in taking preventive measures to reduce the risk. The major causes include:

Trauma and Falls

• Elderly individuals are particularly prone to fractures due to balance issues and age-related weakening of bones.
• Falls from standing height, especially in older adults, can cause fractures in the femoral neck.

Osteoporosis

• A condition that reduces bone density, making bones more fragile and increasing the risk of fractures even with minimal impact.

High-Impact Injuries

• Severe trauma from accidents, sports injuries, or sudden forceful impacts can result in femoral neck fractures.

Bone Diseases

• Conditions such as bone cancer, arthritis, and infections can weaken bones, making them more susceptible to fractures.

Lifestyle Factors

• Poor nutrition, particularly a lack of calcium and vitamin D, can lead to weak bones.
• Sedentary lifestyles contribute to reduced bone density and muscle weakness.
• Smoking and excessive alcohol consumption can negatively impact bone health and increase fracture risks.

 

Symptoms of Fracture Neck Femur

Recognizing the symptoms of a femoral neck fracture is crucial for seeking timely medical intervention. Common symptoms include:

1. Severe pain in the hip and groin region.
2. Inability to bear weight on the affected leg.
3. Shortened and externally rotated leg when compared to the uninjured leg.
4. Swelling and bruising around the hip area.
5. Restricted movement in the hip joint, making walking or standing difficult.

 

Diagnosis of Fracture Neck Femur

Accurate diagnosis is essential for determining the best course of treatment. Doctors use various diagnostic tools, including:

Physical Examination

• The doctor will assess pain levels, leg positioning, and movement restrictions.

X-ray

• X-ray imaging is the primary diagnostic tool used to confirm the presence, location, and severity of the fracture.

MRI or CT Scan

• In complex cases where an X-ray does not provide a clear image, an MRI or CT scan may be recommended to assess soft tissue involvement and the extent of damage.

 

Best Treatment Options for Fracture Neck Femur

Treatment depends on the severity and type of fracture. The main treatment options include:

Non-Surgical Treatment (For Stable Fractures)

• Bed Rest and Pain Management – In cases where the fracture is non-displaced, conservative treatment may involve bed rest and medications to relieve pain.
• Use of Traction – In some cases, traction is applied to help stabilize the fracture.
• Physiotherapy – Gradual rehabilitation with physiotherapy helps restore mobility and strengthen the affected area.

Surgical Treatment (For Displaced Fractures)

• Internal Fixation (Screws and Plates) – This method is commonly used in younger patients with good bone health. Screws and plates are inserted to stabilize the fracture and promote healing.
• Hemiarthroplasty (Partial Hip Replacement) – Recommended for elderly patients with limited mobility. The damaged part of the femoral head is replaced with a prosthetic implant.
• Total Hip Replacement (THR) – This is the preferred treatment for severe fractures, particularly in patients with pre-existing arthritis or significant joint damage.

 

Rehabilitation and Recovery

Recovery from a femoral neck fracture involves multiple stages, including:

• Physiotherapy – Essential for restoring mobility, improving muscle strength, and preventing stiffness.
• Gradual Weight-Bearing Exercises – Patients may need assistance with crutches or walkers before resuming full mobility.
• Pain Management – Medications and therapy help in managing post-surgical discomfort.
• Preventing Future Fractures – Implementing lifestyle changes such as a balanced diet, supplements, and regular exercise to strengthen bones.

 

Prevention of Fracture Neck Femur

Preventing fractures is possible through lifestyle and dietary changes, including:

• Consuming Calcium and Vitamin D-Rich Foods – Dairy products, leafy greens, and fortified foods help maintain bone strength.
• Engaging in Regular Weight-Bearing Exercises – Activities like walking, jogging, and resistance training improve bone density.
• Fall Prevention Measures – Using walking aids, installing grab bars, and ensuring a safe home environment can reduce fall risks in elderly individuals.
• Routine Bone Density Screening – Especially important for individuals at high risk of osteoporosis and fractures.

 

Meet the Best Doctors at Felix Hospital for Fracture Neck Femur

Felix Hospital is home to some of the best orthopedic specialists, offering expert care for femoral neck fractures. Meet our experienced doctors:

• Dr. Piyush Kumar Singh – Specialist in treating complex fractures and orthopedic trauma.
• Dr. Keshav Goel – An experienced orthopedic surgeon specializing in foot and ankle conditions.
• Dr. Binay Kumar Sahu – Focuses on sports injuries and orthopedic rehabilitation.
• Dr. Varun Aggarwal – Expert in minimally invasive fracture treatments, including arthritis-related joint issues.

 

Schedule an appointment today to receive the best treatment for fractures and bone-related conditions!

 

Conclusion

A femoral neck fracture is a serious condition that requires prompt medical attention. Understanding the risk factors, symptoms, and available treatments can help individuals take preventive measures and seek timely medical care. Choosing the best hospital ensures access to top-quality treatment and expert care. Maintaining bone health through proper nutrition, regular exercise, and fall prevention strategies is essential for long-term mobility and well-being.

 

FAQs on Fracture Neck Femur 

 

1. Can a femoral neck fracture heal without surgery?

In rare cases, non-displaced fractures in younger patients with strong bone health may heal with bed rest, traction, and physiotherapy. However, most cases require surgical intervention to restore mobility and prevent complications like avascular necrosis.

 

2. How soon can an elderly patient walk after hip fracture surgery?

Elderly patients who undergo partial or total hip replacement may begin assisted walking with a walker or crutches within 24–48 hours post-surgery. Full mobility can take several weeks to months, depending on physiotherapy and overall health.

 

3. What are the risks of delaying treatment for a femoral neck fracture?

Delaying treatment can lead to serious complications such as avascular necrosis (bone death due to lack of blood supply), nonunion (failure of the bone to heal), deep vein thrombosis (blood clots), and chronic pain, making early intervention crucial.

 

4. How does osteoporosis influence the choice of treatment for a femoral neck fracture?

In osteoporosis patients, internal fixation methods (screws and plates) may not be effective due to weak bone quality. Surgeons often recommend hemiarthroplasty or total hip replacement to ensure better stability and long-term mobility.

 

5. Can physiotherapy alone help in recovering from a femoral neck fracture?

Physiotherapy plays a critical role in recovery, but it cannot replace surgical intervention in displaced fractures. However, in stable, non-displaced fractures, physiotherapy combined with bed rest and medications can aid in healing.

 

6. What dietary changes can help in faster recovery after a femoral neck fracture?

A diet rich in calcium, vitamin D, and protein is essential. Foods like dairy products, leafy greens, nuts, fish, and fortified cereals help in bone healing. Additionally, avoiding alcohol and smoking can improve recovery outcomes.

 

7. Is a femoral neck fracture more common in one leg than the other?

While femoral neck fractures can occur in either leg, research suggests that right-handed individuals may be more prone to left-sided fractures due to natural weight distribution and fall mechanics. However, overall risk depends more on factors like bone health and injury type.