[Femoral neck fractures]

Area of Science:

• Orthopedic Surgery
• Geriatric Medicine
• Traumatology

Context:

• Femoral neck fractures (FNF) represent a significant health challenge in the aging population.
• These fractures carry a high mortality risk and substantial socioeconomic implications.
• Accurate diagnosis relies on clinical assessment and advanced imaging techniques.

Purpose:

• To summarize clinically relevant aspects of femoral neck fractures.
• To provide an overview of current treatment strategies based on scientific literature.
• To aid in decision-making for optimal patient management.

Summary:

• FNF management requires timely surgical intervention.
• Older patients with significant hip damage and dislocation benefit from hip replacement (bipolar, total hip arthroplasty, dual mobility).
• Younger patients with less severe fractures are candidates for joint-preserving osteosynthesis.

Impact:

• Optimizing treatment strategies can improve patient outcomes and reduce mortality associated with FNF.
• This review aids clinicians in selecting appropriate surgical procedures based on patient-specific factors.
• Highlights the importance of early surgical management for successful FNF treatment.