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Peter G. Carnesale, MD; Lewis D. Anderson, MD

Arch Surg. 1975;110(1):27-29.

Abstract
Treatment of displaced femoral neck fractures remains a problem. Routine prosthetic replacement is controversial. Review of 100 patients treated at the Campbell Clinic from 1957 to 1966 suggests that 60% long-term good results can be anticipated at a cost of 5% mortality and 25% morbidity. We believe prosthetic replacement probably should be restricted to (1) those patients admitted for treatment late or those in whom previous internal fixation has failed, (2) elderly patients whose fracture cannot be reduced closed, and (3) patients with special circumstances such as pathologic fractures, seizure disorders, Parkinsonism, and so on.

Author Affiliations
From the Department of Orthopedic Surgery, University of Tennessee College of Medicine and Campbell Foundation, Memphis.

Footnotes
Accepted for publication July 25, 1974.

Reprint requests to Department of Orthopedic Surgery, University of Tennessee College of Medicine, 858 Madison Ave, Room 837, Memphis, TN 38163 (Dr. Carnesale).

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