Management of young femoral neck fractures: is there a consensus?

摘要: Abstract Background Femoral neck fractures in young adults (ages Methods A 17-item survey was developed and tested for validity reliability prior to administration. The questionnaire characterised surgeon demographics, treatment preferences displaced undisplaced fractures, controversies future clinical trials. target population consisted of surgeons from the Canadian Orthopaedic Association, Trauma attendees at an international fracture course. Results 540 completed survey, exceeding our sample size requirement. There a similar proportion respondents academic community hospitals. Most (61%) treat 1–5 adult femoral per year. For 78% prefer use multiple cannulated screws. equal preference screws (46%) sliding hip screw (SHS, 49%) reported. majority perform open reduction less than 25% cases, time fixation typically between 8 24 h. Conclusions Multiple remain preferred most treating fractures; however, there is divide SHS fractures. This increased contradicts previous small trial data recommending all patterns. lack consensus high rates complications associated with supports need definitive trials optimise patient important outcomes.