Abstract Objectives: The objective of this study was to assess the functional outcome of fracture of neck of femur with internal fixation and hemiarthroplasty. Materials and Methods: This study includes 40 adult patients with femoral neck fractures who were admitted to our institute for a period of 3 years. The decision regarding treatment was made on the basis of age and Pauwels’ classification. The patients were informed about the study and consent was taken from each patient. Results: Results were evaluated using the Harris hip score. We had 32 (80%) excellent, 6 (15%) good, 2 (5%) fair, and 0 (0%) poor results. Conclusion: Osteonecrosis of the femoral head and nonunion are the two most common and challenging complications. The key factors in treating femoral neck fractures should include early diagnosis, early surgery, anatomic reduction, and stable internal fixation in young adults. Prosthetic replacement, especially for in elderly patients, is a good option as it allows early postoperative weight-bearing and avoids complications related to excessive collapse at fracture site and screw cutout which may occur after osteosynthesis. Thus, bipolar hemiarthroplasty is a good procedure for treatment of intracapsular fracture of neck of femur in elderly population as it provides painless, stable, mobile hip joint, allowing early mobilization with low complication rate.
Patel et al. (Thu,) studied this question.