J Korean Fract Soc.  1995 Jan;8(1):61-67.

Treatment of Femoral Neck Fractures in the Elderly Patiene

• Kang CN
• Roh KJ
• Yun YH
• Kim DJ
• Kim CM

Abstract

We analyzed 41 femoral neck fractures in 40 elderly patients aged over 65 years. All of them were treated by surgery and followed for average 22 months (range, 14 to 52 months) at the Ewha Womans University Hospital from 1988 to 1992. Of these, 15 cases were treated with internal fixation and 26 cases with endoprosthetic or total hip replacement arthroplasty For the level of fractures the most common features were subcapital, that were moderately to severely (Gardens stage III or IV) displaced. In the internal fuation group the results were unsatisfactory in the cases of subcapital type, moderate to severe (Gardens stage III or IV) displacement, Pauwels type III and those with osteoporosis (below stage III in Singh index). Our short term follow-up results showed that the prosthetic replacement group were generally superior in that they were not affected by the types of fractures and the degree of osteoporosis.

Keyword

Femoral neck fractures; Internal fixation; Prosthetic replacement

MeSH Terms

Aged*
Arthroplasty
Arthroplasty, Replacement, Hip
Female
Femoral Neck Fractures*
Femur Neck*
Follow-Up Studies
Humans
Osteoporosis