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Femoral neck fractures in adults with emphasis on surgical treatment

Rogmark, Cecilia LU ; Viberg, Bjarke ; Wolf, Olof ; Mukka, Sebastian LU ; Costa, Matthew L. and Gjertsen, Jan Erik (2025) In Acta Orthopaedica 96. p.632-639
Abstract

Femoral neck fractures (FNFs) are associated with loss of function in all ages and excess mortality. The societal costs are high. Treatment needs to be tailored based on fracture type, functional demand, and physiological age of the patient. Internal fixation is often preferred for undisplaced FNFs and for displaced FNFs in young patients. Anatomical reduction is essential, but slight valgus is accepted. For a majority of those with displaced FNFs, a cemented hemiarthroplasty is the best alternative. This educational article suggests a treatment algorithm for FNFs and describes the evidence base for the recommended surgical techniques. Basicervical fractures, stress and pathological fractures are not included in this review.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Orthopaedica
volume
96
pages
8 pages
publisher
Taylor & Francis
external identifiers
  • scopus:105015411385
  • pmid:40823707
ISSN
1745-3674
DOI
10.2340/17453674.2025.44354
language
English
LU publication?
yes
id
fc77d25b-4f0a-4ca8-8b90-a73cc3e5a8eb
date added to LUP
2025-11-13 15:26:58
date last changed
2025-11-14 03:00:04
@article{fc77d25b-4f0a-4ca8-8b90-a73cc3e5a8eb,
  abstract     = {{<p>Femoral neck fractures (FNFs) are associated with loss of function in all ages and excess mortality. The societal costs are high. Treatment needs to be tailored based on fracture type, functional demand, and physiological age of the patient. Internal fixation is often preferred for undisplaced FNFs and for displaced FNFs in young patients. Anatomical reduction is essential, but slight valgus is accepted. For a majority of those with displaced FNFs, a cemented hemiarthroplasty is the best alternative. This educational article suggests a treatment algorithm for FNFs and describes the evidence base for the recommended surgical techniques. Basicervical fractures, stress and pathological fractures are not included in this review.</p>}},
  author       = {{Rogmark, Cecilia and Viberg, Bjarke and Wolf, Olof and Mukka, Sebastian and Costa, Matthew L. and Gjertsen, Jan Erik}},
  issn         = {{1745-3674}},
  language     = {{eng}},
  pages        = {{632--639}},
  publisher    = {{Taylor & Francis}},
  series       = {{Acta Orthopaedica}},
  title        = {{Femoral neck fractures in adults with emphasis on surgical treatment}},
  url          = {{http://dx.doi.org/10.2340/17453674.2025.44354}},
  doi          = {{10.2340/17453674.2025.44354}},
  volume       = {{96}},
  year         = {{2025}},
}