Treatment of undisplaced femoral neck fractures in the elderly.
BACKGROUND
While the treatment for displaced femoral neck fractures in the elderly (Garden types III and IV) is quite clear, the procedure for impacted or undisplaced femoral neck fractures (Garden types I and II) is still a subject of controversy.


METHODS
Thirty-seven (all >80 years old) patients with undisplaced femoral neck fractures were treated with osteosynthesis by cannulated screws fixation. The clinical outcomes were followed up retrospectively for at least two years.


RESULTS
The overall union rate was 94.59% (35 patients) at 6 months after primary internal fixation. The overall success rate was 83.78% (31 patients), and the overall failure rate was 16.22% (6 patients).


CONCLUSIONS
Osteosynthesis with cannulated screws fixation is a simple, safe, economical, and reasonably effective procedure for the treatment of undisplaced femoral neck fractures in patients older than 80 years.
Chen
Wei-Chih
WC
Division of Trauma Orthopedics, Department of Orthopedic Surgery, Chang Gung Memorial Hospital, Linkuo, Taiwan, Republic of China.
Yu
Shang-Won
SW
Tseng
I-Chuan
IC
Su
Juin-Yih
JY
Tu
Yuan-Kun
YK
Chen
Wen-Jer
WJ
D000368:Aged; D000369:Aged, 80 and over; D001863:Bone Screws; D005260:Female; D005265:Femoral Neck Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods; D017102:Fracture Healing; D016330:Frail Elderly; D006801:Humans; D008297:Male; D010146:Pain / Q000175:diagnosis / Q000209:etiology; D010147:Pain Measurement; D011859:Radiography; D012189:Retrospective Studies; D016896:Treatment Outcome