Journal article
Subcapital fractures A CHANGING PARADIGM
Journal of bone and joint surgery. British volume, Vol.94B(11), pp.19-21
11/01/2012
DOI: 10.1302/0301-620X.94B11.30617
PMID: 23118374
Abstract
Options for the treatment of subcapital femoral neck fractures basically fall into two categories: internal fixation or arthroplasty (either hemiarthroplasty or total hip arthroplasty). Historically, the treatment option has been driven by a diagnosis-related approach (non-displaced neck fractures versus displaced neck fractures). More recently, the traditional paradigm has changed. Instead of a diagnosis-related approach, it has become more of a patient-related approach. Treatment options take in to consideration the patient's age, functional demands, and individual risk profile. A simple algorithm can be helpful in terms of directing the treatment. Non-displaced fractures, regardless of age of the patient, should be treated with closed reduction and internal fixation. For displaced femoral neck fractures, the treatment differs depending on the age of the patient. The younger patient should be treated with urgent ORIF with the goal of an anatomic reduction. For displaced femoral neck fractures in the elderly, cognitive function should be determined. For those who are cognitively functioning, total hip arthroplasty appears to be the best option. In the cognitively dysfunctional, a bipolar hemiarthroplasty or a total hip arthroplasty with use of larger heads (32 mm or 36 mm) and/or constrained sockets are a viable option.
Details
- Title: Subtitle
- Subcapital fractures A CHANGING PARADIGM
- Creators
- J. J. Callaghan - University of IowaS. S. Liu - University of IowaG. J. Haidukewych - Orlando Regional Medical Center
- Resource Type
- Journal article
- Publication Details
- Journal of bone and joint surgery. British volume, Vol.94B(11), pp.19-21
- Publisher
- British Editorial Soc Bone Joint Surgery
- DOI
- 10.1302/0301-620X.94B11.30617
- PMID
- 23118374
- ISSN
- 0301-620X
- eISSN
- 2044-5377
- Number of pages
- 3
- Language
- English
- Date published
- 11/01/2012
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Orthopedics and Rehabilitation
- Record Identifier
- 9984622055002771
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