Abstract Treatment of displaced femoral neck fractures remains a problem. Routine prosthetic replacement is controversial. Review of 100 patients treated at the Campbell Clinic from 1957 to 1966 suggests that 60% long-term good results can be anticipated at a cost of 5% mortality and 25% morbidity. We believe prosthetic replacement probably should be restricted to (1) those patients admitted for treatment late or those in whom previous internal fixation has failed, (2) elderly patients whose fracture cannot be reduced closed, and (3) patients with special circumstances such as pathologic fractures, seizure disorders, Parkinsonism, and so on. References 1. Anderson LD, Hamsa WR Jr, Waring TL: Femoral head prostheses . J Bone Joint Surg 46A:1049-1065, 1964. 2. Hinchey JJ, Day PL: Primary prosthetic replacement in fresh femoral neck fractures . J Bone Joint Surg 46A:223-241, 1964. 3. Boyd HB, Salvatore JE: Acute fractures of the femoral neck: Internal fixation or prosthesis? J Bone Joint Surg 46A:1066-1068, 1964. 4. Metz CW Jr, Sellers TD, Feagin JA, et al: The displaced intracapsular fracture of the neck of the femur . J Bone Joint Surg 52A:113-127, 1970. 5. Frankel VH, Burstein AH, Brown RH, et al: Biotelemetry from the upper end of the femur , abstracted. J Bone Joint Surg 53A:1023, 1971.
Archives of Surgery – American Medical Association
Published: Jan 1, 1975