An overview on the treatment strategies of non-displaced femoral neck fracture in the elderly

Arthroplasty

Panpan Lu¹  Yuanwei Zhang¹  Yangyang Zhou¹  Yunfeng Rui¹  Hui Chen¹  Ming Ni² 

[1] Department of Orthopedics Zhongda Hospital, School of Medicine Southeast University;Department of Orthopedics the First Medical Center, Chinese PLA General Hospital;

关键词: Elderly;    Non-displaced;    Femoral neck fracture;    Conservative treatment;    Internal fixation;    Hemiarthroplasty;   

DOI  :  10.1186/s42836-022-00111-0

来源: DOAJ

【 摘 要 】

Abstract Background This paper aimed to review the databases on non-displaced femoral neck fractures in elderly patients. We also discussed the surgical and non-surgical treatments and selection of implants. Methods Reviewed was the literature on non-displaced femoral neck fractures in elderly patients. Four major medical databases and a combination of the search terms of “femoral neck fractures”, “nondisplaced”, “undisplaced”, “non-displaced”, “un-displaced”, “aged”, “the elderly”, and “geriatric” were used to search the literature relevant to the topic of the review. Results Patients who were unable to tolerate the operation and anesthesia could be treated conservatively. Otherwise, surgical treatment was a better choice. Specific surgical strategies and implant selection were important for the patient’s functional recovery. Conclusions The non-displaced femoral neck fractures are relatively stable but carry a risk of secondary displacement. Surgical treatments may be a better option because the implants provide additional stability and allow early exercise and ambulation. Hemiarthroplasty is also an alternative for old patients with higher risks of displacement and avascular necrosis of the femoral head.

【 授权许可】

Unknown