Femoral Neck Fractures in the Elderly

Research output: Chapter in Book/Report/Conference proceedingChapter


This chapter presents a case scenario of a 71-year-old male patient who is a community ambulator and slipped while shoveling his driveway after a snowstorm. Maintaining the patient’s original hip with a fixation device versus removing the femoral head and replacing the hip with a prosthesis has important implications for outcome and function. Multiple randomized controlled trials have compared the use of sliding hip screws (SHSs) and cancellous screws for fixation of displaced femoral neck fractures; however, many current studies lack methodological rigor. SHSs may reduce re-operations in patients with displaced fractures. Pre-existing hip pain and radiographic evidence of osteoarthritis has been an indication for total hip arthroplasty (THA). THA is generally considered a better option for patients who are active and capable of following postoperative instructions. The chapter also provides recommendations for implementing evidence-based practice in the clinical setting.

Original languageEnglish (US)
Title of host publicationEvidence-Based Orthopedics
Subtitle of host publicationSecond Edition
Number of pages5
ISBN (Electronic)9781119413936
ISBN (Print)9781119414001
StatePublished - Jan 1 2021

Bibliographical note

Publisher Copyright:
© 2021 John Wiley and Sons Ltd. Published 2021 by John Wiley and Sons Ltd.


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