Femoral neck fracture with or without traction

The need for traction for a fractured neck of femur depends on the situation. If the fracture is treated conservatively, traction is needed; if it is treated surgically, traction is not necessarily needed. If there is no obvious displacement of the fracture, or if the patient has more underlying diseases, even if the fracture is displaced and cannot tolerate surgery, conservative treatment can be adopted: lower extremity traction, so that the lower extremity is in a neutral position, to prevent the hip joint from twisting and causing the fracture to be displaced, and the traction can also reduce the local pain. Generally, traction can be removed after 2 months when the fracture line is blurred by local radiographs. If the femoral neck fracture has obvious displacement, you can take minimally invasive screw fixation, then there is no need for traction treatment or according to the situation of mild skin traction, bed rest for about 3 months after the operation, avoiding ground activities, when the fracture radiographs are well healed, you can help the crutches to walk on the ground. If the femoral neck fracture for the head under the type of femoral head necrosis probability is greater, generally artificial femoral head replacement surgery, do not need traction treatment, the next day after the operation can go down to the ground activities. Therefore, the fracture of the neck of the femur should be treated with traction or not according to the situation to determine.