Related Experiment Video

Updated: Apr 19, 2026

Orthopedic Robot-Assisted Femoral Neck System in the Treatment of Femoral Neck Fracture
05:42

Orthopedic Robot-Assisted Femoral Neck System in the Treatment of Femoral Neck Fracture

Published on: March 3, 2023

3.6K

Complications following young femoral neck fractures

G P Slobogean1, S A Sprague2, T Scott3

  • 1Department of Orthopaedic Surgery, University of British Columbia, Canada; Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Canada.

Injury
|December 7, 2014
PubMed

Insights

Internal fixation of young femoral neck fractures leads to high complication rates, with nearly 20% requiring reoperation. Avascular necrosis and nonunion are common issues, underscoring the need for improved treatment strategies.

Area of Science:

  • Orthopedic surgery
  • Trauma surgery
  • Biostatistics

Background:

  • Femoral neck fractures in young patients (<60 years) present unique challenges due to high-energy mechanisms and fracture patterns.
  • Understanding complication incidence is crucial for addressing treatment controversies in this demographic.
  • This study focuses on quantifying complications after internal fixation of these fractures.

Purpose of the Study:

  • To quantitatively pool the incidence of patient-important complications following internal fixation of young femoral neck fractures.

Main Methods:

  • A systematic literature search was conducted across major biomedical databases (Medline, Embase, CINAHL, Cochrane, Central).
  • Key outcomes (complications) systematically collected included reoperation, avascular necrosis (AVN), non-union, infection, implant failure, and malunion.

Main Results:

  • The meta-analysis included 1558 fractures from 41 studies.
  • Pooled complication rates: reoperation (18.0%), AVN (14.3%), non-union (9.3%), malunion (7.1%), implant failure (9.7%), and surgical site infection (5.1%).
  • Displaced fractures showed higher rates of reoperation, AVN, and non-union. Concomitant femoral shaft fractures were associated with lower complication rates.

Conclusions:

  • Internal fixation of young femoral neck fractures is associated with a high incidence of complications.
  • Reoperation (nearly 20%) was common, often linked to AVN and nonunion.
  • Further research is needed to enhance clinical outcomes for this patient group.
Abstract

Keywords:
Femoral neck fractureNon-geriatiric hip fracture

More Related Videos

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner04:41

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

Published on: June 6, 2025

1.6K
Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

1.7K

Related Concept Videos

Healing II: Complications01:24

Healing II: Complications

Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...
22
Changes in the Appendicular Skeleton with Age01:09

Changes in the Appendicular Skeleton with Age

The upper and lower limb initially develops as a small bulge called a limb bud, which appears on the lateral side of the early embryo. The upper limb bud appears near the end of the fourth week of development, with the lower limb bud appearing shortly after.
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
4.1K
Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
6.9K
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
467
Bones of the Lower Limb: Femur and Patella01:16

Bones of the Lower Limb: Femur and Patella

The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
9.8K
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
610