Femoral fractures

Correctly chosen and performed surgical treatment of the fracture, early mobilization, and good management of the patient’s general diseases are essential – institutional care is a threat.
It is advisable to start with thrombosis prophylaxis already before the patient is referred further, at least if the transportation distance is long, e.g. with dalteparin 5 000 IU s.c. or enoxaparin 40 mg s.c. Carefully register time and dosage (essential information for spinal anaesthesia)!
Non-dislocated fracture of the femoral neck may pass unnoticed (relatively painless, the patient may be able to put weight on the limb, poorly visible on x-ray). Always carefully examine the hips of an elderly patient after a fall accident, even if he/she only complains of e.g. the knee.