Orthopedic treatment of hip fracture.

Abstract:

:There are those who advocate nonoperative treatment of impacted femoral neck fractures, but in general there is consensus that surgery is the treatment of choice for both trochanteric hip fracture and femoral neck fracture. As for trochanteric fractures, modern results after internal fixation are characterized by only a low percentage of secondary operations, even for unstable fractures and when full weight bearing is permitted immediately after operation. The high rates of complication after internal fixation of femoral neck fractures and the insignificant improvement of these results over the decades have made prosthetic replacement an alternative method of treatment, at least for dislocated femoral neck fractures. Until a quantifiable prognostic method to judge whether a given femoral neck fracture will heal is available, and until sufficiently large, prospective techniques have been undertaken, diverging opinions about the operative treatment of choice will persist.

journal_name

Bone

journal_title

Bone

authors

Obrant K

doi

10.1016/8756-3282(95)00495-5

subject

Has Abstract

pub_date

1996-03-01 00:00:00

pages

145S-148S

issue

3 Suppl

eissn

8756-3282

issn

1873-2763

pii

8756-3282(95)00495-5

journal_volume

18

pub_type

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