[Medial femoral neck fracture. Controversies in treatment].
The treatment of the medial femoral neck fracture remains controversial until today. The goal of this paper is therefore, based on the literature, to show guidelines for optimal treatment: conservative treatment vs. operation, osteosynthesis vs. prosthesis, timing for osteosynthesis, open vs. closed reduction, choice of implant for osteosynthesis, postoperative treatment (weight bearing vs. non weight bearing), Pauwels-Osteotomy vs. prosthesis in cases op pseudarthrosis, femoral head prosthesis vs. total hip arthroplasty, bipolar vs. monopolar femoral head prosthesis, choice of classification. Further we want to point out which statements are evidence based and where we need further investigation.
Raaymakers
E L F B
EL
Orthopädische Klinik, Academisch Medisch Centrum, Amsterdam, Niederlande.
Schafroth
M
M
D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D004434:Early Ambulation; D005265:Femoral Neck Fractures / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D011182:Postoperative Care; D017410:Practice Guidelines as Topic; D011474:Prosthesis Design