[Fracture of the femoral neck: therapeutic approach].
The therapeutic approach for treatment of femoral neck fractures is reviewed. The choice of implant is dependent primarily on patient age and amount of fracture displacement. Hemiarthroplasty remains the treatment of choice for displaced femoral neck fractures in older or debilitated patients. Internal fixation is always indicated in healthy and active subjects, whether the fracture is displaced or undisplaced. Internal fixation with three cancellous screws provides good mechanical stability without compromising head vitality when compared to other implants.
Département de chirurgie, Hôpital cantonal universitaire, Genève.
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Peter
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Fritschy
D000328:Adult; D000368:Aged; D001863:Bone Screws; D005260:Female; D005265:Femoral Neck Fractures / Q000145:classification / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D013523:Surgical Equipment