Intracapsular Femoral Neck Fractures—A Surgical Management Algorithm
<i>Background and Objectives</i>: Femoral neck fractures are common and constitute one of the largest healthcare burdens of the modern age. Fractures within the joint capsule (intracapsular) provide a specific surgical challenge due to the difficulty in predicting rates of bony union and...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-07-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/57/8/791 |
| _version_ | 1797523016924528640 |
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| author | James W. A. Fletcher Christoph Sommer Henrik Eckardt Matthias Knobe Boyko Gueorguiev Karl Stoffel |
| author_facet | James W. A. Fletcher Christoph Sommer Henrik Eckardt Matthias Knobe Boyko Gueorguiev Karl Stoffel |
| author_sort | James W. A. Fletcher |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: Femoral neck fractures are common and constitute one of the largest healthcare burdens of the modern age. Fractures within the joint capsule (intracapsular) provide a specific surgical challenge due to the difficulty in predicting rates of bony union and whether the blood supply to the femoral head has been disrupted in a way that would lead to avascular necrosis. Most femoral neck fractures are treated surgically, aiming to maintain mobility, whilst reducing pain and complications associated with prolonged bedrest. <i>Materials and Methods</i>: We performed a narrative review of intracapsular hip fracture management, highlighting the latest advancements in fixation techniques, generating an evidence-based algorithm for their management. <i>Results</i>: Multiple different fracture configurations are encountered within the category of intracapsular hip fractures, with each pattern having different optimal surgical strategies. Additionally, these injuries typically occur in patients where further procedures due to operative complications are associated with a considerable increase in mortality, highlighting the need for choosing the correct index operation. <i>Conclusions</i>: Factors such as pathological causes for the fracture, pre-existing symptomatic osteoarthritis, patient’s physiological age and fracture displacement all need to be considered when choosing optimal management. |
| first_indexed | 2024-03-10T08:37:27Z |
| format | Article |
| id | doaj.art-c623e2f09985421f8c63fb2f0673e3af |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-10T08:37:27Z |
| publishDate | 2021-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-c623e2f09985421f8c63fb2f0673e3af2023-11-22T08:36:09ZengMDPI AGMedicina1010-660X1648-91442021-07-0157879110.3390/medicina57080791Intracapsular Femoral Neck Fractures—A Surgical Management AlgorithmJames W. A. Fletcher0Christoph Sommer1Henrik Eckardt2Matthias Knobe3Boyko Gueorguiev4Karl Stoffel5AO Research Institute Davos, 7270 Davos, SwitzerlandCantonal Hospital Graubünden, 7000 Chur, SwitzerlandUniversity Hospital Basel, 4052 Basel, SwitzerlandDepartment of Orthopaedics and Trauma Surgery, Lucerne Cantonal Hospital, 6000 Lucerne, SwitzerlandAO Research Institute Davos, 7270 Davos, SwitzerlandUniversity Hospital Basel, 4052 Basel, Switzerland<i>Background and Objectives</i>: Femoral neck fractures are common and constitute one of the largest healthcare burdens of the modern age. Fractures within the joint capsule (intracapsular) provide a specific surgical challenge due to the difficulty in predicting rates of bony union and whether the blood supply to the femoral head has been disrupted in a way that would lead to avascular necrosis. Most femoral neck fractures are treated surgically, aiming to maintain mobility, whilst reducing pain and complications associated with prolonged bedrest. <i>Materials and Methods</i>: We performed a narrative review of intracapsular hip fracture management, highlighting the latest advancements in fixation techniques, generating an evidence-based algorithm for their management. <i>Results</i>: Multiple different fracture configurations are encountered within the category of intracapsular hip fractures, with each pattern having different optimal surgical strategies. Additionally, these injuries typically occur in patients where further procedures due to operative complications are associated with a considerable increase in mortality, highlighting the need for choosing the correct index operation. <i>Conclusions</i>: Factors such as pathological causes for the fracture, pre-existing symptomatic osteoarthritis, patient’s physiological age and fracture displacement all need to be considered when choosing optimal management.https://www.mdpi.com/1648-9144/57/8/791algorithmarthroplastyfemoral neck fractureship fracturesfixationscrews |
| spellingShingle | James W. A. Fletcher Christoph Sommer Henrik Eckardt Matthias Knobe Boyko Gueorguiev Karl Stoffel Intracapsular Femoral Neck Fractures—A Surgical Management Algorithm Medicina algorithm arthroplasty femoral neck fractures hip fractures fixation screws |
| title | Intracapsular Femoral Neck Fractures—A Surgical Management Algorithm |
| title_full | Intracapsular Femoral Neck Fractures—A Surgical Management Algorithm |
| title_fullStr | Intracapsular Femoral Neck Fractures—A Surgical Management Algorithm |
| title_full_unstemmed | Intracapsular Femoral Neck Fractures—A Surgical Management Algorithm |
| title_short | Intracapsular Femoral Neck Fractures—A Surgical Management Algorithm |
| title_sort | intracapsular femoral neck fractures a surgical management algorithm |
| topic | algorithm arthroplasty femoral neck fractures hip fractures fixation screws |
| url | https://www.mdpi.com/1648-9144/57/8/791 |
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