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Year : 2022  |  Volume : 19  |  Issue : 2  |  Page : 57-64

Controversies in the management of fracture neck of femur

Department of Orthopaedics, BGS Global Institute of Medical Sciences, Bengaluru, Karnataka, India

Correspondence Address:
P Madhuchandra
Department of Orthopaedics, BGS Global Institute of Medical Sciences, Bengaluru, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/joasis.joasis_34_22

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Intracapsular fracture neck of the femur (NOF) has been termed as “unsolved” fracture. Despite the ever-increasing literature on hip fractures, current treatment guidelines are conflicting and provide no authoritative, evidence-based recommendations on the ideal timing and modality of surgical management. Studies are going on with regard to solving the mystery behind the fracture NOF, still many of the controversial issues are remaining as a big challenge to orthopedic surgeons across the world. We are trying to enlighten a few of the controversial issues here with regard to:
  • Classification of fracture NOF
  • Treatment for undisplaced fracture
  • Timing of surgery for a young patient with a displaced fracture NOF
  • Reduction techniques of the fracture
  • Internal fixation (IF) or replacement for displaced fracture NOF
  • Positioning of the implant for IF
  • Aspiration of the hip
  • Surgical approaches
  • Cemented versus uncemented prosthesis
  • Hemiarthroplasty versus total hip arthroplasty
  • Postoperative weight-bearing and moblilization.

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