[Surgical treatment of proximal femoral fracture]

Surgical treatment of proximal femoral fracture is one of the most common surgeries for orthopaedic surgeon. Recent improvements of implant and surgical technique brought the change of postoperative physical therapy, shortened hospital stay and increased patient's activity. For intra-articular femoral neck fracture, internal fixation or artificial arthroplasty is applied depending on displacement of fracture site. On the other hand, internal fixation is usually indicated for femoral trochanteric fracture, however suitable selection of fixation method is required depending on fracture type. Any type of surgery should be done as fast as possible after fracture as long as general condition of the patient is preserved. These surgical treatments for proximal femoral fracture will be required more than ever in response to acceleration of aging society in Japan.