Evidence-based review of surgical treatment options for femoral neck fractures, synthesizing level I–IV studies to compare internal fixation implants, cemented vs. cementless hemiarthroplasty, unipolar vs. bipolar prostheses, surgical approaches, and internal fixation vs. THA in elderly patients.
When a cognitively intact, ambulatory elderly patient presents with a displaced femoral neck fracture, lean toward THA over internal fixation or hemiarthroplasty — the evidence shows dramatically lower revision and complication rates that persist to 13 years.
When hemiarthroplasty is chosen, cement the stem: across multiple trials it reduces pain and restores mobility without increasing complications.
Evidence-based review of surgical treatment options for femoral neck fractures, synthesizing level I–IV studies to compare internal fixation implants, cemented vs. cementless hemiarthroplasty, unipolar vs. bipolar prostheses, surgical approaches, and internal fixation vs. THA in elderly patients.
When a cognitively intact, ambulatory elderly patient presents with a displaced femoral neck fracture, lean toward THA over internal fixation or hemiarthroplasty — the evidence shows dramatically lower revision and complication rates that persist to 13 years.
When hemiarthroplasty is chosen, cement the stem: across multiple trials it reduces pain and restores mobility without increasing complications.