Progress in treatment of femoral neck fracture in young adults
10.3760/cma.j.cn115530-20200202-00043
- VernacularTitle:青壮年股骨颈骨折的治疗进展
- Author:
Kaihang XU
1
;
Fang JI
Author Information
1. 海军军医大学长海医院创伤骨科，上海 200433
- From:
Chinese Journal of Orthopaedic Trauma
2020;22(6):549-552
- CountryChina
- Language:Chinese
-
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.
