title: Non-operative or operative treatment for undisplaced femoral neck fractures: a comparative study of 122 non-operative and 125 operatively treated cases.
abstract: We present a series of 247 undisplaced femoral neck fractures, of which 122 were primarily treated non-operatively, and 125 with primary operative stabilization. The background parameters did not differ significantly in the two groups. The length of hospitalization was 1 week shorter in the operatively treated group. They started to walk bearing full weight at an average of 11 days earlier. Two-thirds of the operatively treated but only one-quarter of the non-operatively treated patients were able to walk alone when they left hospital. General complications were recorded in 19 of the non-operatively and in four of the operatively treated patients during their hospitalization. Early displacement (within 6 weeks) was noted in 20 per cent of the non-operatively treated patients who required late operation. However, there was no early displacement in the operatively treated group. We therefore recommend primary operative stabilization of undisplaced femoral neck fractures.
authors.affiliation: National Institute of Traumatology, Budapest, Hungary.
authors.forename: P
authors.initials: P
authors.lastname: Cserháti
authors.forename: G
authors.initials: G
authors.lastname: Kazár
authors.forename: J
authors.initials: J
authors.lastname: Manninger
authors.forename: K
authors.initials: K
authors.lastname: Fekete
authors.forename: S
authors.initials: S
authors.lastname: Frenyó
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001860:Bone Plates; D001863:Bone Screws; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery / Q000628:therapy*; D005593:Fracture Fixation, Internal / Q000379:methods; D017102:Fracture Healing; D006801:Humans; D008297:Male; D008875:Middle Aged; D009985:Orthopedics; D016896:Treatment Outcome