© Copyright 2026 American Medical Association. All rights reserved.
Closed treatment of a proximal end, neck fracture of the femur involves a non-surgical approach to manage the injury. This procedure is specifically indicated for fractures located at the neck of the femur, which is the area just below the ball of the hip joint. The treatment aims to realign the fractured bone fragments without making any incisions. During the procedure, healthcare professionals will obtain radiographs, which are X-ray images, to confirm the presence and alignment of the fracture. A thorough neurovascular examination is conducted to assess the integrity of the nerves and blood vessels surrounding the injury site, ensuring that there is no compromise to these critical structures. In cases where the fracture is minimally displaced, the healthcare provider will manually manipulate the bone fragments back into their proper anatomical position. If necessary, skeletal traction may be applied to maintain alignment, which involves inserting a pin into the femur or tibia and using weights to provide the appropriate tension. This method is crucial for promoting healing and restoring function to the affected limb.
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