This review covers the surgical indications, approaches, and implant choices for plating femoral neck fractures — primarily in physiologically young patients and select higher-functioning elderly patients where joint preservation is the goal. It compares SHS, proximal femoral locking plates, blade plates, and the emerging Targon FN dynamic locking plate.
When plating a femoral neck fracture in a young patient, Pauwels angle and fracture comminution drive implant selection: high-shear (Pauwels III) and basicervical patterns need an SHS, not just cancellous screws.
If a PFLP is in the room, know that its clinical failure rate is unacceptably high for isolated femoral neck fractures — reserve it only for complex proximal femur injuries not amenable to nailing.
This review covers the surgical indications, approaches, and implant choices for plating femoral neck fractures — primarily in physiologically young patients and select higher-functioning elderly patients where joint preservation is the goal. It compares SHS, proximal femoral locking plates, blade plates, and the emerging Targon FN dynamic locking plate.
When plating a femoral neck fracture in a young patient, Pauwels angle and fracture comminution drive implant selection: high-shear (Pauwels III) and basicervical patterns need an SHS, not just cancellous screws.
If a PFLP is in the room, know that its clinical failure rate is unacceptably high for isolated femoral neck fractures — reserve it only for complex proximal femur injuries not amenable to nailing.