Healing Time for Radial Head Fractures and Femoral Neck Fixation: What to Expect

Radial head bone callus

How long does it take for a closed fracture of the right radial head to heal after plate fixation? It's been three months since the right femoral neck fracture was fixed with three screws, and it still hasn't healed.
What should I do?

jiu jiu j, 30~39 year old female. Ask Date: 2015/08/14

Dr. Shi Guozheng reply Orthopedics

A distal radius fracture typically heals in about three months; however, the removal of bone screws must wait until one year later.
The healing time for a femoral neck fracture is similar, but it may lead to avascular necrosis of the femoral head or nonunion due to displacement.
It is crucial to carefully protect a femoral neck fracture, especially if there is initial displacement, as this increases the likelihood of complications.
Generally, young patients with femoral neck fractures are treated with surgical reduction and fixation using bone screws.
For patients over 60 years of age, total hip arthroplasty is usually the preferred treatment.
If a femoral neck fracture fails to heal after surgery, possible subsequent management options include reoperation for fixation or total joint replacement.
Therefore, patients must continue to be monitored to assess the outcomes.

Reply Date: 2015/08/14

More Info

Healing from fractures, particularly those involving the radial head and femoral neck, can vary significantly based on several factors, including the type of fracture, the patient's age, overall health, and adherence to rehabilitation protocols.
For a closed fracture of the radial head, the healing time typically ranges from 6 to 12 weeks. The radial head is a critical component of the elbow joint, and fractures in this area can lead to complications if not managed properly. If a plate has been used for fixation, it is essential to follow up with your orthopedic surgeon to ensure that the fracture is healing correctly. Regular X-rays will help monitor the healing process. If you are still experiencing significant pain or functional limitations after three months, it may be necessary to reassess the situation. Sometimes, non-union or malunion can occur, which may require further intervention.

As for the femoral neck fracture, which is often more serious due to the risk of avascular necrosis (loss of blood supply to the bone), the healing time can also vary. Generally, it takes about 12 to 16 weeks for a femoral neck fracture to heal, especially when treated with internal fixation like screws. However, if you are still experiencing pain or limitations in mobility after three months, it is crucial to consult your orthopedic surgeon. They may recommend imaging studies to evaluate the healing process and determine if there are any complications, such as non-union or issues related to the fixation devices.

In both cases, rehabilitation plays a vital role in recovery. Physical therapy is often recommended to restore range of motion, strength, and function. Engaging in prescribed exercises can significantly enhance recovery outcomes. If you have not yet started physical therapy, it may be beneficial to discuss this with your healthcare provider.

Additionally, it's essential to consider factors that may affect healing, such as nutrition, smoking status, and overall health. A diet rich in calcium and vitamin D can support bone healing, while smoking can impede recovery. If you have any underlying health conditions, such as osteoporosis or diabetes, these may also impact your healing process.

In summary, while healing times can vary, it is crucial to maintain open communication with your healthcare provider. If you have concerns about your recovery or if you feel that your healing is not progressing as expected, do not hesitate to seek further evaluation. Your orthopedic surgeon can provide tailored advice and may suggest additional imaging or interventions if necessary. Remember that patience and adherence to rehabilitation protocols are key components of a successful recovery.

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