Executive Editor: Joseph Schatzker, Peter Trafton

Authors: Ernst Raaymakers, Inger Schipper, Rogier Simmermacher, Chris van der Werken

Proximal femur - Femoral neck fracture, transcervical or basicervical

General considerations

Neck fractures are extraarticular but intracapsular; the articular surface is not damaged, but the blood supply to the femoral head may be compromised.

For transcervical fractures there is still some debate about the relative merits of fixation vs arthroplasty, and which are the best indications for each.

A sliding hip screw should be preferred over multiple smaller screws, if intrinsic stability is questionable, particularly in osteoporotic bone, or in case of a comminuted fracture.

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v2.0 2010-11-14