Neck Fracture treatment options are diverse. The treatment modality and management of neck fractures depend on several factors, including, but not necessarily limited to:  

• Severity of the fracture

• Extent of displacement

• Age of the fracture

• Activity level of the individual

• Possible presence and degree of osteoporosis

Neck Fracture Surgery

The least invasive approach to treatment is always the first call to action. When less invasive methods fail, surgery may be an option. There are quite a number of surgical procedures or options available for those who qualify, including:

Open Reduction and Internal Fixation.  After open reduction of the displaced bone is performed, the femoral neck is internally fixed by using plates, pins or screws.

Femoral Neck Pinning. After a closed or open reduction of the bone is performed (in cases of displaced fractures), multiple screws are placed across the fracture femoral neck to stabilize.  Usually three cannulated screws are placed in a parallel position to the direction of the femoral neck.  This is an ideal procedure for young healthy individuals.

Sliding Hip Screws. This procedure is used for basilar femoral neck fractures.  A sliding hip screw is inserted together with a single cannulated screw.

Arthroplasty (Hemi or Total).  The technique is recommended for pathologic fractures and for those who have poor general health conditions such as osteoporosis, especially the elderly ones. 

Hemi-Arthroplasty. The femoral head is removed and replaced by a metal implant.  The acetabulum is not resurfaced, which later might lead to acetabular erosion.

Total Arthroplasty is also referred to as Total Joint Replacement because it involves the replacement of the ball-and-socket femoral joint.  The Femoral head is replaced with a metal implant, while the acetabulum or socket is resurfaced.

Outcome

It’s important to fully evaluate the benefits and risks of surgical procedures with your orthopedic surgeon through a strong Q and A session. The benefits may outweigh the risks with the talent of a gifted orthopedic surgeon.  In your inquiry, find out how many times the  orthopedic surgeon has performed the proposed approach, how long the results are  expected to last, and what coping skills may be required for a suboptimal outcome should one arise.

It is important to recognize that medications and medical procedures are associated with benefits and risks that should be discussed with your physician. It is important to recognize that all information contained on this website cannot be considered to be specific medical diagnosis, medical treatment, or medical advice. As always, you should consult with a physician regarding any medical condition. Your Health Access disclaims any liability for the decisions you make based on this information.