Fractured neck of femur - solving the unsolved fracture

Abstract

The choice of treatment for an intracapsular fracture can only be made on an individual patient basis. Factors that influence this decision are the facilities available, surgical expertise, degree of displacement of the fracture, delay from fracture to surgery and age of the patient. In addition, the presence of other medical conditions that may influence fracture healing or adversely affect arthroplasty need to be considered. The clinician when faced with a patient with an intracapsular fracture must assess each patient's individual risk factors, and then decide if the risk of failure of internal fixation of the fracture is high enough to justify replacing the femoral head with an arthroplasty.

Keywords

intracapsular hip fracture internal fixation arthroplasty

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