Treatment of

Femoral Neck Fracture

Chapman MW, et al. Chapman’s Orthopaedic Surger 3rd ed. Lippincott Williams & Wilkins. 2001
Bucholz RW, et al. Rockwood and Green’s fractures in adults, 7th ed. Lippincott Williams & Wilkins. Philadelphia.2010
 Recommendations of the AAOS Management of
Hip Fractures in the Elderly: Evidence-Based Guidelines

• Stable femoral neck fractures: moderate evidence – operative

fixation
• Displaced femoral neck fractures: strong evidence –
arthroplasty
• Unipolar vs Bipolar: moderate evidence – similar outcome
• Hemiarthroplasty vs Total hip arthroplasty: moderate
evidence – benefit to total hip arthroplasty in properly
selected patients
• Cemented femoral stems: moderate evidence – preferential
use cemented femoral stems

Roberts KC, et al. Management of hip fractures in the elderly. Journal of the American of
Orthpaedic Surgeons. February 2015. Vol.23 no.2 131-137
 Recommendations of the AAOS Management of
Hip Fractures in the Elderly: Evidence-Based Guidelines

• Moderate evidence: Practitioner should generally follow a

moderate recommendation but remain alert to new
information and be sensitive to patient preferences

• Strong evidence: Practitioner should follow a strong

recommendation unless a clear and compelling rationale for
an alternative approach is present

Roberts KC, et al. Management of hip fractures in the elderly. Journal of the American of
Orthpaedic Surgeons. February 2015. Vol.23 no.2 131-137