avascular necrosis - develops in 30% of displaced and in 10% of undisplaced fractures. Treatment is total hip replacement irrespective of union as such patients will experience continued pain and progressive loss of function
non-union - develops in one-third of all femoral neck fractures, but especially, in displaced ones. Corrective treatment depends on the patient's age and the type of treatment already received:
younger patients may be considered for subtrochanteric osteotomy - if the head is alive; for a second internal fixation if there is no evidence of necrosis and reduction had originally been faulty; or for a prosthesis if necrosis has developed
older patients should be managed conservatively - by wearing a raised heel and walking with a stick, if the pain is mild; or with total hip replacement if the pain is intolerable and the patient is fit for operation
osteoarthritis - this may occur many years afterward. Total hip replacement should be considered depending on the patients age, discomfort etc.
Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.