This 1994 narrative review by Koval and Zuckerman covers general hip fracture management principles and a detailed treatment algorithm for femoral neck fractures specifically — addressing classification, surgical timing, implant selection, hemiarthroplasty options, and expected complication rates for both nondisplaced and displaced patterns.
When evaluating a femoral neck fracture, the Garden classification immediately stratifies your treatment path: nondisplaced (I/II) gets parallel lag screws with low complication risk, while displaced (III/IV) forces the ORIF-vs-hemiarthroplasty decision based on patient age and activity — and remember that the quality of your reduction in displaced fractures is the single most controllable determinant of whether the femoral head survives.
This 1994 narrative review by Koval and Zuckerman covers general hip fracture management principles and a detailed treatment algorithm for femoral neck fractures specifically — addressing classification, surgical timing, implant selection, hemiarthroplasty options, and expected complication rates for both nondisplaced and displaced patterns.
When evaluating a femoral neck fracture, the Garden classification immediately stratifies your treatment path: nondisplaced (I/II) gets parallel lag screws with low complication risk, while displaced (III/IV) forces the ORIF-vs-hemiarthroplasty decision based on patient age and activity — and remember that the quality of your reduction in displaced fractures is the single most controllable determinant of whether the femoral head survives.