Optimizing Fixation Strategies for Femoral Neck Fractures in the Elderly: A Study of Osteosynthesis in the Sixth and Seventh Decades

Background: Femoral neck fractures are a major reason for illness and death in elderly people, mainly in those between the ages of 60 and 79. Trying to find the best way to handle fixation is difficult in this group. Aim: The present work sought to observe patient outcomes after osteosynthesis for fractures of the femoral neck in the elderly, covering healing, problems, and progress of daily living. Methodology: The present study was a prospective descriptive observational study conducted in the Department of Orthopaedics, Government Medical College, and Hospital, Purnea, Bihar, India for one year. In the study, 100 patients over the age of 60 to 79 had their fixation done with cannulated cancellous screws, dynamic hip screws or locking plates. For one year, the recovery and outcomes of patients were recorded to check for unions, problems and Harris Hip Scores. Results: Fractures in 90% of cases united and it took an average of 15.8 weeks for union to occur. Avascular necrosis took place in 8% of patients and approximately 10% of the cases did not heal properly. At this point, most of the patients reported having good to excellent functional outcomes. Conclusion: All in all, treating femoral neck fractures in elderly patients aged 60–79 years by osteosynthesis is acceptable. A fracture treatment plan matched to the fracture and the person’s bone condition can lead to good results for those who are still active.