Femoral neck fractures

被引：0

作者：

Jaeger, M. ^{[1
,2
,3
]}

Portegys, E. ^{[2
]}

Busch, A. ^{[3
]}

Wegner, A. ^{[1
,4
]}

机构：

[1] Univ Duisburg Essen, Lehrstuhl Orthopadie & Unfallchirurg, Mulheim, Germany

[2] St Marien Hosp Mulheim a d Ruhr, Dept Orthopaed Trauma & Reconstruct Surg, Mulheim, Germany

[3] Kathol Klinikum Essen Philippus Stift, Klin Orthopadie Unfall & Wiederherstellungschirur, Essen, Germany

[4] Klinikum Wolfsburg, Klin Unfallchirurg Orthopad Handchirurg, Wolfsburg, Germany

来源：

ORTHOPADIE | 2023年 / 52卷 / 04期

关键词：

Total hip arthroplasty; Older patients; Classification systems; Joint replacement; Hip joint preservation; TOTAL HIP-ARTHROPLASTY; MANAGEMENT; HEMIARTHROPLASTY; MORTALITY;

D O I：

10.1007/s00132-023-04364-8

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Femoral neck fractures (FNF) are the most frequent fractures in the older population and are also of high socioeconomic importance due to the high risk of mortality. The diagnostics are based on the clinical examination and imaging procedures. The classification systems used in the routine clinical practice are oriented towards the prognosis and are therefore a valuable aid in making decisions for the selection of the treatment procedure. Early surgery is decisive for the success of treatment. Older patients (> 60 years) with arthritically damaged hips and a high degree of fracture dislocation benefit from prompt hip replacement (bipolar systems, total hip arthroplasty, dual mobility systems). In contrast, joint-preserving surgery by osteosynthesis is indicated in younger patients with a low degree of dislocation. This article summarizes the clinically relevant aspects of FNF and gives an overview of current treatment strategies with inclusion of the scientific literature.

引用

页码：332 / 346

页数：15

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