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Clin Orthop Relat Res 367:300–305ĭeneka DA, Simonian PT, Stankewich CJ et al (1997) Biomechanical comparison of internal fixation techniques for the treatment of unstable basicervical femoral neck fractures. īaitner AC, Maurer SG, Hickey DG et al (1999) Vertical shear fractures of the femoral neck. Kemker B, Magone K, Owen J et al (2017) A sliding hip screw augmented with 2 screws is biomechanically similar to an inverted triad of cannulated screws in repair of a Pauwels type-III fracture. īhandari M, Tornetta P, Hanson B, Swiontkowski MF (2009) Optimal internal fixation for femoral neck fractures: multiple screws or sliding hip screws? J Orthop Trauma 23:403–407. A comparison between sliding screw plate and four cancellous bone screws. Madsen F, Linde F, Andersen E et al (1987) Fixation of displaced femoral neck fractures. Swiontkowski MF, Harrington RM, Keller TS, Van Patten PK (1987) Torsion and bending analysis of internal fixation techniques for femoral neck fractures: the role of implant design and bone density. A radiographic analysis of 87 fractures with a new mensuration technique. Lindequist S (1993) Cortical screw support in femoral neck fractures. A radiographic evaluation Acta Orthop Scand 57:505–509. Johansson A, Strömqvist B, Bauer G et al (1986) Improved operations for femoral neck fracture. īhandari M, Swiontkowski M (2017) Management of acute hip fracture. Viberg B, Frøslev T, Overgaard S, Pedersen AB (2021) Mortality and revision risk after femoral neck fracture: comparison of internal fixation for undisplaced fracture with arthroplasty for displaced fracture: a population-based study from Danish National Registries. (17)30066-1ĭolatowski FC, Frihagen F, Bartels S et al (2019) Screw fixation versus hemiarthroplasty for nondisplaced femoral neck fractures in elderly patients: a multicenter randomized controlled trial. įixation using Alternative Implants for the Treatment of Hip fractures (FAITH) Investigators (2017) Fracture fixation in the operative management of hip fractures (FAITH): an international, multicentre, randomised controlled trial. (02)00324-8Įkhtiari S, Gormley J, Axelrod DE et al (2020) Total hip arthroplasty versus hemiarthroplasty for displaced femoral neck fracture: a systematic review and meta-analysis of randomized controlled trials.
Thorngren K-G, Hommel A, Norrman PO et al (2002) Epidemiology of femoral neck fractures. Ĭooper C, Campion G, Melton LJ (1992) Hip fractures in the elderly: a world-wide projection. Veronese N, Maggi S (2018) Epidemiology and social costs of hip fracture. Mann E, Meyer G, Haastert B, Icks A (2010) Comparison of hip fracture incidence and trends between Germany and Austria 1995–2004: an epidemiological study. However, experienced arthroplasty surgeons with significant expertise in press-fitting techniques may achieve similar outcomes with cementless arthroplasty. Finally, cemented arthroplasty decreases periprosthetic fracture risk as compared to cementless arthroplasty. In select active elderly patients, total hip arthroplasty may achieve favourable early functional outcomes as compared to a hemiarthroplasty. Most elderly patients with displaced femoral neck fractures should be managed with a hemiarthroplasty. For displaced fractures, the literature strongly supports arthroplasty. Newly designed fixation constructs require further investigation.
Hemiarthroplasty decreases re-operation rate, while internal fixation decreases operative time, blood loss, and infection risk. For non-displaced fractures, both internal fixation and hemiarthroplasty remain feasible options. Contemporary treatment options include internal fixation, hemiarthroplasty, and total hip arthroplasty. These injuries are associated with significant morbidity, and the economic impact of surgically fixing these fractures is notable. Femoral neck fractures are a common injury that many orthopaedic surgeons will encounter within their practice. This review paper on femoral neck fractures in the elderly provides updated information from the most recent literature and examines the advantages and disadvantages of different surgical treatment options.
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