Achieve restoration of alignment and osseous healing (following surgical fixation techniques).Surgery is nearly always indicated for patients presenting with an FNF. Thus, this patient population requires a comprehensive and interprofessional approach to address all comorbidities and all mental and physical impairments. The elderly population often presents with femoral neck fractures in the setting of multiple medical comorbidities. AVN of the femoral head is very rare following extracapsular fractures. In contrast, extracapsular fractures rarely compromise the arterial blood supply to the femoral head and neck and, thus, are commonly managed with various types of surgical fixation techniques. Nondisplaced fractures can be managed with fixation using cannulated screw fixation. These procedures typically include hip hemiarthroplasty or total hip arthroplasty (THA) procedures. The femoral head and neck are replaced with a reconstruction prosthesis. ĭisplaced intracapsular femoral neck fractures in the elderly are typically managed with hip reconstruction procedures. In addition to the tamponade effect mentioned above and its potential compromise to femoral head blood flow, patients with femoral neck fractures risk developing avascular necrosis (AVN) due to the retrograde blood supply and injury to the retinacular vessels.
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