Medicina de Emergência: Acesso Aberto
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Trans-Cervical Femoral Fractures in Young Adults: The Prognosis is not only in the Hands of Orthopaedic Surgeons

Levi-Falk NW, Kniaz D, Haddad M and Raviv B

Hip fractures are still a very difficult problem in emergency rooms all over the world. They are increasingly common due to increasing numbers of road accidents and aging population. They are among the most expensive injuries treated in emergency rooms. If surgical indications are rather well codified for older injured, the goals to achieve for younger ones is quite different. Restoring or preserve the femoral head vascular supply is of utmost importance and requires a perfect coordination between emergency specialists and orthopaedic surgeons.

In this context, reducing the delay between the injury and consider these fractures as real surgical emergencies as well as improving surgical techniques to allow a fast rehabilitation are the management options which can help emergency teams to improve their final results. For these traumas the preservation of the femoral head is the goal we all expect to achieve.