Optimal Treatment of Femoral Neck Fractures According to Patient's Physiologic Age: An Evidence-Based Review

Jason A. Lowe, Brett D. Crist, Mohit Bhandari, Tania A. Ferguson

Research output: Contribution to journalArticle

35 Scopus citations

Abstract

For decades, the basic tenets of managing displaced femoral neck fractures have not changed, but the optimal treatment choice continues to be highly debated. The contemporary controversies associated with the treatment principles of displaced femoral neck fractures are distinct between young and old patients and are considered individually in this article about the current evidence. Although fixation constructs all seem to have similar complication rates, there is increasing evidence suggesting that total hip replacement improves patient functional outcomes for healthy, independent, elderly patients compared with hemiarthroplasty and should be considered as the treatment of choice for these patients.

Original languageEnglish (US)
Pages (from-to)157-166
Number of pages10
JournalOrthopedic Clinics of North America
Volume41
Issue number2
DOIs
StatePublished - Apr 2010

Keywords

  • Arthroplasty
  • Femoral neck fracture
  • Narrative-review
  • Open reduction and internal fixation

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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