Femoral Neck Fractures: Current Management

被引:258
作者
Florschutz, Anthony V. [1 ]
Langford, Joshua R. [1 ]
Haidukewych, George J. [1 ]
Koval, Kenneth J. [1 ]
机构
[1] Orlando Reg Med Ctr Inc, Orlando, FL 32806 USA
关键词
femur; neck; fracture; review; trauma; TOTAL HIP-ARTHROPLASTY; REDUCTION INTERNAL-FIXATION; DYNAMIC LOCKING PLATE; 4-YEAR FOLLOW-UP; UNCEMENTED HEMIARTHROPLASTY; BIPOLAR HEMIARTHROPLASTY; CEMENTED HEMIARTHROPLASTY; INTRACAPSULAR FRACTURE; SUBCAPITAL FRACTURES; CANCELLOUS SCREWS;
D O I
10.1097/BOT.0000000000000291
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
Femoral neck fractures are a commonly encountered injury in orthopaedic practice and result in significant morbidity and mortality. It is essential that surgeons are able to recognize specific fracture patterns and patient characteristics that indicate the use of particular implants and methods to effectively manage these injuries. Use of the Garden and Pauwels classification systems has remained the practical mainstay of femoral neck fracture characterization that help dictate appropriate treatment. Operative options include in situ fixation, closed or open reduction and internal fixation, hemiarthroplasty, and total hip arthroplasty. Recent reports demonstrate diversity among orthopaedic surgeons in regard to the optimal treatment of femoral neck fractures and changing trends in management. The present discussion focuses on the current indications and methods for femoral neck fracture management to provide direction with respect to appropriate and effective care of these injuries.
引用
收藏
页码:121 / 129
页数:9
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