Displaced femoral neck fractures: is there a standard of care?
Many factors must be considered in treating displaced femoral neck fractures. For younger patients, ORIF is preferred, whereas arthroplasty is the better option for elderly patients. For institutionalized elderly patients with a low activity level or impaired mental status, the choice should be hemiarthroplasty (either unipolar or bipolar). For high-demand, active patients, evidence continues to mount toward THA as the favored treatment option. However, there is a need for larger clinical trials to demonstrate the most cost-effective way to treat sub-populations of an ever-growing number of patients with displaced femoral neck fractures.
Macaulay
William
W
Center for Hip and Knee Replacement, Department of Orthopedic Surgery, New York Presbyterian Hospital at Columbia University, 622 W 168th St, PH 1146, New York, NY 10032, USA.
Yoon
Richard S
RS
Parsley
Brian
B
Nellans
Kate W
KW
Teeny
Steven M
SM
D019643:Arthroplasty, Replacement / Q000592:standards*; D005265:Femoral Neck Fractures / Q000601:surgery*; D006801:Humans; D015201:Meta-Analysis as Topic; D012086:Reoperation / Q000706:statistics & numerical data; D012307:Risk Factors; D016896:Treatment Outcome