Contemporary management of femoral neck fractures: The young and the old

David A. Forsh, Tania A. Ferguson

Research output: Contribution to journalArticle

15 Scopus citations

Abstract

The optimal management strategy for femoral neck fractures remains highly debated. The femoral neck is intracapsular and the vascular supply is fragile. Furthermore, the curvature of the proximal femur results in high mechanical stresses through the femoral neck. Poor outcomes of nonunion and avascular necrosis (AVN) are common. This chapter reviews the current evidence with respect to the treatment principles of femoral neck fractures in two distinct patient populations: "young" and "old." Contemporary controversies including surgical timing, choice of implant, arthroplasty options, nonoperative management, capsulotomy, and associated complications will be discussed.

Original languageEnglish (US)
Pages (from-to)214-221
Number of pages8
JournalCurrent Reviews in Musculoskeletal Medicine
Volume5
Issue number3
DOIs
StatePublished - Sep 2012

Keywords

  • Contemporary hip fracture treatment
  • Femoral neck fractures
  • Old hip fracture
  • Physiologically young hip fracture
  • Trauma

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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