Progress in treatment of femoral neck fracture in young adults / 中华创伤骨科杂志

ABSTRACT

Treatment of femoral neck fracture in young adults is still a challenge. Controversy arises in the topics addressing surgical timing, reduction strategy (open or closed), necessity of joint capsule decompression, implants and fixation methods. However, whatever is adopted, the goal of surgical treatment is to ensure good fracture reduction and fixation for the patient so as to reduce the risks of internal fixation failure, nonunion and femoral head necrosis. In recent years, application of autogenous bone transplantation, femoral neck medial supporting plate and other new techniques has provided new alternative treatments for femoral neck fracture in young adults. This review comments on the surgical timing, reduction strategy, necessity of joint capsule decompression, and choice of surgical approaches and fixation methods in the treatment of femoral neck fracture in young adults.