{"id":1699,"date":"2024-10-01T09:51:56","date_gmt":"2024-10-01T07:51:56","guid":{"rendered":"https:\/\/imppact-chirurgie.fr\/?page_id=1699"},"modified":"2024-10-01T11:49:00","modified_gmt":"2024-10-01T09:49:00","slug":"fracture-col-du-femur","status":"publish","type":"page","link":"https:\/\/imppact-chirurgie.fr\/index.php\/traumatologie\/fracture-col-du-femur\/","title":{"rendered":"Fracture col du f\u00e9mur"},"content":{"rendered":"

[et_pb_section fb_built=\u00a0\u00bb1″ admin_label=\u00a0\u00bbsection\u00a0\u00bb _builder_version=\u00a0\u00bb4.16″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row admin_label=\u00a0\u00bbrow\u00a0\u00bb _builder_version=\u00a0\u00bb4.24.3″ background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb custom_margin=\u00a0\u00bb|auto||144px||\u00a0\u00bb custom_padding=\u00a0\u00bb|||58px||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb4.16″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbText\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0″ background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb width=\u00a0\u00bb99.8%\u00a0\u00bb custom_margin=\u00a0\u00bb||||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb|||0px||\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″]<\/p>\n

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La fracture du col du f\u00e9mur<\/span><\/h1>\n
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La fracture de l\u2019extr\u00e9mit\u00e9 sup\u00e9rieure (ou proximale) du f\u00e9mur est une cassure de l\u2019os du f\u00e9mur situ\u00e9e entre le trochanter et la t\u00eate de l\u2019os. Elle touche essentiellement les personnes \u00e2g\u00e9es et plus particuli\u00e8rement les femmes chez lesquelles l\u2019ost\u00e9oporose est fr\u00e9quente. C\u2019est une urgence chirurgicale.<\/span><\/p>\n

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La fracture de l\u2019extr\u00e9mit\u00e9 sup\u00e9rieure du f\u00e9mur est une cassure de l\u2019os pouvant survenir \u00e0 deux niveaux\u00a0:<\/span><\/p>\n

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    au niveau du col, on parle alors de\u00a0fracture cervicale\u00a0;<\/span><\/p>\n<\/li>\n

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    au niveau du trochanter, on parle alors de\u00a0fracture trochant\u00e9rienne.<\/span><\/p>\n<\/li>\n<\/ul>\n

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    MODE DE SURVENUE ET FACTEURS FAVORISANTS<\/span><\/strong><\/p>\n

    Chez les personnes de moins de 55 ans, la fracture de l\u2019extr\u00e9mit\u00e9 sup\u00e9rieure du f\u00e9mur est rare et survient apr\u00e8s un traumatisme violent accidentel (accident de la route, chute d\u2019un lieu \u00e9lev\u00e9\u2026)<\/span><\/p>\n

    Chez une personne \u00e2g\u00e9e, la fracture de l\u2019extr\u00e9mit\u00e9 sup\u00e9rieure du f\u00e9mur fait suite le plus souvent \u00e0 une chute banale. Elle touche tr\u00e8s majoritairement les femmes. Cette fracture peut alors \u00eatre responsable d\u2019une perte d\u2019autonomie.<\/span><\/p>\n

    La fracture de l’extr\u00e9mit\u00e9 sup\u00e9rieure du f\u00e9mur de la personne \u00e2g\u00e9e est favoris\u00e9e par des facteurs de risque pouvant \u00eatre pr\u00e9venus\u00a0:<\/span><\/p>\n

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      l\u2019ost\u00e9oporose<\/span><\/p>\n<\/li>\n

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      les\u00a0chutes,<\/span><\/p>\n<\/li>\n<\/ul>\n

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      UN TRAITEMENT CHIRURGICAL ADAPT\u00c9 \u00c0 LA SITUATION M\u00c9DICALE DU PATIENT<\/span><\/strong><\/p>\n

      Le traitement des fractures de l’extr\u00e9mit\u00e9 sup\u00e9rieure (ou proximale) du f\u00e9mur est chirurgical.<\/span><\/p>\n

      L’intervention chirurgicale est programm\u00e9e tr\u00e8s rapidement afin de garantir une meilleure \u00e9volution et diminuer le risque de complications.
      Cependant, certaines personnes \u00e2g\u00e9es ne sont pas op\u00e9r\u00e9es en raison de contre-indications \u00e0 tous modes d’anesth\u00e9sie (le traitement est alors orthop\u00e9dique) et d’autres ne sont op\u00e9r\u00e9es qu’apr\u00e8s arr\u00eat de leur traitement anticoagulant ou apr\u00e8s la r\u00e9alisation d’un bilan m\u00e9dical complet.<\/span><\/p>\n

      L\u2019ost\u00e9osynth\u00e8se:<\/span><\/span><\/p>\n

      Elle consiste \u00e0 solidariser les deux fragments osseux du f\u00e9mur fractur\u00e9 \u00e0 l\u2019aide de vis ou de plaques.<\/span><\/p>\n

      Elle est utilis\u00e9e dans les fractures pas ou peu d\u00e9plac\u00e9es chez les personnes \u00e2g\u00e9es. Elle est aussi souvent pr\u00e9f\u00e9r\u00e9e chez les personnes jeunes, quel que soit le type de fracture.<\/span><\/p>\n

      Complications apr\u00e8s une ost\u00e9osynth\u00e8se d\u2019une fracture du col femoral:<\/span><\/p>\n

      Il arrive que la fracture n\u2019\u00e9volue pas favorablement apr\u00e8s ost\u00e9osynth\u00e8se.<\/span><\/p>\n

      Plusieurs situations peuvent alors survenir\u00a0:<\/span><\/p>\n

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        l’infection osseuse ou articulaire.<\/span><\/p>\n<\/li>\n

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        la\u00a0pseudarthrose\u00a0c’est-\u00e0-dire la non consolidation de la fracture dans un d\u00e9lai de six mois apr\u00e8s la pose de vis et\/ou plaques. Elle n\u00e9cessite une nouvelle intervention chirurgicale\u00a0;<\/span><\/p>\n<\/li>\n

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        la\u00a0n\u00e9crose\u00a0(destruction) de la t\u00eate f\u00e9morale. Elle est souvent cons\u00e9cutive \u00e0 une fracture d\u00e9plac\u00e9e du col du f\u00e9mur. Elle appara\u00eet dans les deux ann\u00e9es qui suivent et se traduit par des douleurs de l\u2019aine et une difficult\u00e9 \u00e0 marcher de plus en plus importante.<\/span><\/p>\n<\/li>\n<\/ul>\n

        La proth\u00e8se totale de hanche:<\/span><\/span><\/p>\n

        Elle remplace un ou plusieurs \u00e9l\u00e9ments osseux qui constituent l\u2019articulation de la hanche. Il existe divers types de proth\u00e8ses :<\/span><\/p>\n

        Elle comporte une pi\u00e8ce f\u00e9morale, qui vient s’articuler sur une pi\u00e8ce cotylo\u00efdienne. C\u2019est le m\u00eame type de proth\u00e8se qui est utilis\u00e9 pour traiter une arthrose de la hanche. Elle est pos\u00e9e dans le cas de fractures d\u00e9plac\u00e9es, ou sur des hanches d\u00e9j\u00e0 touch\u00e9es par l\u2019arthrose.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

        [\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.27.0″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb4.27.0″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb][et_pb_gallery gallery_ids=\u00a0\u00bb1704,1705″ _builder_version=\u00a0\u00bb4.27.0″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb title_level=\u00a0\u00bbh6″ title_font=\u00a0\u00bb|||on|||||\u00a0\u00bb hover_enabled=\u00a0\u00bb0″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb theme_builder_area=\u00a0\u00bbpost_content\u00a0\u00bb sticky_enabled=\u00a0\u00bb0″][\/et_pb_gallery][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

        La fracture du col du f\u00e9mur   La fracture de l\u2019extr\u00e9mit\u00e9 sup\u00e9rieure (ou proximale) du f\u00e9mur est une cassure de l\u2019os du f\u00e9mur situ\u00e9e entre le trochanter et la t\u00eate de l\u2019os. Elle touche essentiellement les personnes \u00e2g\u00e9es et plus particuli\u00e8rement les femmes chez lesquelles l\u2019ost\u00e9oporose est fr\u00e9quente. C\u2019est une urgence chirurgicale. La fracture de […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1513,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-1699","page","type-page","status-publish","hentry"],"yoast_head":"\nFracture col du f\u00e9mur | IMPPACT Chirurgie<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/imppact-chirurgie.fr\/index.php\/traumatologie\/fracture-col-du-femur\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fracture col du f\u00e9mur | IMPPACT Chirurgie\" \/>\n<meta property=\"og:description\" content=\"La fracture du col du f\u00e9mur   La fracture de l\u2019extr\u00e9mit\u00e9 sup\u00e9rieure (ou proximale) du f\u00e9mur est une cassure de l\u2019os du f\u00e9mur situ\u00e9e entre le trochanter et la t\u00eate de l\u2019os. 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