Femoral neck fractures are a commonly encountered injury in orthopaedic practice and result in significant morbidity and mortality. It is essential that surgeons are able to recognize specific fracture patterns and patient characteristics that indicate the use of particular implants and methods to effectively manage these injuries. Use of the Garden and Pauwels classification systems has remained the practical mainstay of femoral neck fracture characterization that help dictate appropriate treatment. Operative options include in situ fixation, closed or open reduction and internal fixation, hemiarthroplasty, and total hip arthroplasty. Recent reports demonstrate diversity among orthopaedic surgeons in regard to the optimal treatment of femoral neck fractures and changing trends in management. The present discussion focuses on the current indications and methods for femoral neck fracture management to provide direction with respect to appropriate and effective care of these injuries.

Polls results

On a scale of 1 to 10, rate how much this article will change your clinical practice?

NO change
BIG change
95% Article relates to my practice (21/22)
4% Article does not relate to my practice (1/22)
0% Undecided (0/22)

Will this article lead to more cost-effective healthcare?

77% Yes (17/22)
18% No (4/22)
4% Undecided (1/22)

Was this article biased? (commercial or personal)

13% Yes (3/22)
81% No (18/22)
4% Undecided (1/22)

What level of evidence do you think this article is?

0% Level 1 (0/22)
45% Level 2 (10/22)
22% Level 3 (5/22)
22% Level 4 (5/22)
9% Level 5 (2/22)