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KMID : 0361620150500030178
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Journal of the Korean Orthopaedic Association
2015 Volume.50 No. 3 p.178 ~ p.191
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Current Treatment Strategy for Young Adult Femur Neck Fractures
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Yeo In-Gwon
Lim Seung-Jae
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Abstract
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Femoral neck fracture in young adults represents a relatively uncommon, high-energy injury associated with higher incidence of complications including nonunion, avascular necrosis of the femoral head, and significant shortening. Preservation of the natural hip anatomy and mechanics is a priority in their management and anatomic reduction and stable internal fixation are critical to achieving the goals of treatment in this young patient population. Current evidence is insufficient to recommend an ideal management method; however, in this article we present the rationale and evidence for timing of surgery, role of capsulotomy, open versus closed reduction, and available internal fixation options.
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KEYWORD
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femoral neck fractures, young adult, treatment
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