Femoral Neck Fractures

Abstract

Hip fractures are one of the most common fractures, and may occur with high-energy trauma in young people and low-energy trauma such as simple falls in the elderly. Femoral neck fractures constitute approximately half of these fractures. It is estimated that their numbers will increase even more, especially with the aging population. While the diagnosis of these fractures can be easily made with X-rays, magnetic resonance imaging is an important diagnostic tool in occult or stress fractures. The treatment is shaped by considering the patient's age, comorbidities and activity level. While fixation is the first choice in young patients, arthroplasty may be the first choice in elderly patients. Femoral neck fractures are a type of fracture open to complications. While avascular necrosis, nonunion, malunion, and complications are common after internal fixation, prosthetic dislocations and periprosthetic infections are complications that may develop due to arthroplasty. Especially in elderly patients, femoral neck fracture is an important mortality risk factor. The treatment modality decision and treatment application processes of these common fractures are very important. Predicting the complications that may occur and considering the risks specific to the patient while making the treatment decision will guide us in the success of the treatment.