Lynchburg Journal of Medical Science

Lynchburg Journal of Medical Science


Orthopedic Surgery


Dr. Vickie Beloy


Femoral head sparring implants are the most effective option for treating femoral neck fractures in young adults. Arthroplasty implants are not ideal fixation devices in this age group due to the implant's short expiration date compared to the age expectancy of this younger patient population. In addition, due to the high rate of avascular necrosis in this population, there continues to be questions as to whether or not open visualization of the fracture is required to gain the best possible surgical outcome. Implant selection and fracture classification may be a more contributing factor than was initially thought, as well as the possibility of increased time to surgery due to implant and surgeon availability. These factors may delay surgery until a trauma-trained surgeon or the necessary orthopedic implant is available to perform the indicated procedure. Further research is needed to determine the optimal femoral head-sparing implant for femoral neck fractures in young adults.


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