Preface

• Fracture  discontinuity of the bone.

a) Open Fracture
b) Closed Fracture
• Femoral neck fracture is the most common site for fractures in
the elderly.
Depkes RI 2011:
• 45,987 people experienced lower
limb fractures
 19,629 femur fractures
 14,027 cruris fractures
 3,775 tibia fractures
 9,702 small bone fractures
 336 fibular fractures
1. Solomon, L dkk. Fractures of the Femoral Neck; Apley’s System of Orthopaedic and Fractures, 8th Ed. Arnold, 2001. Hal: 847-52.
2. 2. Egol, K dkk. Femoral Neck Fractures; Handbook of Fractures, 3rd Ed. Lippincott Williams & Wilkins, 2002. Hal: 319-28.
 Anatomy
• The femur is the longest and
heaviest bone in the body.
• The proximal end of the
femur consists of caput
femoris and two trochanters.
• The intertrochanteric area is
located between the greater
trochanter and the lesser
trochanter.
• Caput femoris and collum
femoris form an angle (1150-
1400) to the long axis of the
body.
• The corpus femoris is curved,
which is convex to the
anterior.
• The distal end of the femur,
ending in two condyles.

3. Thompson, J. Netter’s Concise Orthopaedic Anatomy, 2nd Ed. Elsevier Saunders, 2010. Hal: 251-7.
 Anatomy
Blood Supply of Caput Femoris

• The intramedulary blood

vessels in the neck of the
femur
• Branches of the ascending
cervical blood vessels from
circumflex arteries
• Blood vessels from the
ligamentum teres.

Fracture  intramedular and

retinacular vessels are torn when the
fragments shift.
 damage of blood vessels, fragile
periosteum, and obstruction of
synovial fluid.

3. Thompson, J. Netter’s Concise Orthopaedic Anatomy, 2nd Ed. Elsevier Saunders, 2010. Hal: 251-7.
 Anatomy

3. Thompson, J. Netter’s Concise Orthopaedic Anatomy, 2nd Ed. Elsevier Saunders, 2010. Hal: 251-7.
 Anatomy

3. Thompson, J. Netter’s Concise Orthopaedic Anatomy, 2nd Ed. Elsevier Saunders, 2010. Hal: 251-7.
4. Ahmed Zaghloul, Elalfy M Mohamed. Hip Joint: Embryology, Anatomy and Biomechanics. Biomed J Sci & Tech Res 12(3)-2018. BJSTR.
MS.ID.002267. DOI: 10.26717/ BJSTR.2018.12.002267.
4. Ahmed Zaghloul, Elalfy M Mohamed. Hip Joint: Embryology, Anatomy and Biomechanics. Biomed J Sci & Tech Res 12(3)-
2018. BJSTR. MS.ID.002267. DOI: 10.26717/ BJSTR.2018.12.002267.
 Definition

• Femoral neck fracture is an intracapsular fracture that occurs

in the proximal part of the femur.
 Area starting from the distal surface of the head of the femoris to the
proximal part of the intertrochanteric area.
• Can be caused by direct trauma, muscle repair, certain
conditions such as bone degeneration / osteoporosis.
1. Solomon, L dkk. Fractures of the Femoral Neck; Apley’s System of Orthopaedic and Fractures, 8th Ed. Arnold, 2001. Hal: 847-52.
2. 2. Egol, K dkk. Femoral Neck Fractures; Handbook of Fractures, 3rd Ed. Lippincott Williams & Wilkins, 2002. Hal: 319-28.