Fix or Replace: Evidence for Treatment Options in the Management of Femoral Neck Fractures.

Nauth, Aaron; Schemitsch, Geoffrey; Schmidt, Andy; Schemitsch, Emil · J Am Acad Orthop Surg · 2026

review · Level V

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Abstract

Femoral neck fractures are highly morbid injuries in elderly populations and can be challenging to treat. Surgical management can consist of internal fixation or arthroplasty after careful consideration of injury and patient factors. There has been a trend toward increased usage of acute arthroplasty in the management of femoral neck fractures. The present review aims to evaluate treatment indications, technical considerations, and treatment outcomes in the management of hip trauma with both internal fixation and arthroplasty.