DARMSTADT / RÜSSELSHEIM – A femoral neck fracture can lead to permanent restrictions, especially in older patients. At the same time, older patients in particular are affected by this typical fracture. It is usually associated with a decline in bone density and bone stability due to age or osteoporosis.
Prof. Dr med. Dr h.c. Christian Wüster has many years of experience as a practising endocrinologist for the Darmstadt and Rüsselsheim regions. He emphasises: ‘The best treatment for a femoral neck fracture is prevention. Regular bone density testing provides an indication of the individual fracture risk. If there is an above-average loss of bone density and bone mass, we can influence the risk of a femoral neck fracture with special medication and a change in lifestyle. Older people today want to remain independent for a long time. Preventive therapy with a view to femoral neck fractures is part of the holistic treatment of older patients.’
According to the World Health Organisation, the decade between 2020 and 2030 is to be declared the decade of healthy ageing. This is in view of the increasing ageing of the world’s population. More and more patients are reaching an advanced age, with an increase in age-related diseases such as a pathological decline in bone density and femoral neck fractures as their consequences.
For Prof Wüster, adequate care for older patients includes the targeted prevention of such fractures. For older people, they are often the start of a long-term need for care and are associated with a high mortality rate and a loss of independence. At the same time, the cost to the healthcare system of caring for these patients increases. In 2018 alone, 120,000 femur fractures were treated surgically. It is not uncommon for patients to die within the first 30 days after surgery.