Treatment methods

Back to full mobility

The treatment for a femoral neck fracture always depends on your overall health and the decision is always made with your input. In patients under the age of 60, we make every effort to preserve the existing joint. A prolonged period of no weight-bearing, for example through the use of crutches, of six weeks may also be necessary.

For the treatment of patients over 70, the emphasis is on the immediate restoration of full mobility. Since older people are generally unable to spare one leg by using crutches, we replace the damaged hip joint with a prosthesis. This saves the patient from prolonged immobility. 

Surgical treatment methods

Femoral neck fracture: Surgery for a femoral neck fracture

Femoral neck fractures in older people are generally treated with a special, cemented femoral neck prosthesis. Only the broken part of the femoral head and the femoral neck are replaced. The acetabular cup remains unaffected. It is only replaced with an artificial cup if there is already severe damage cause by wear and tear of the joint.

The advantage of this "hemi"-prosthesis (bipolar prosthesis) lies in the fact that the procedure is less arduous than with a complete endoprothesis. The surgery time is also significantly shorter. The aim of both types of prosthesis is to mobilise the affected leg with full weight-bearing on the first day after the operation.

Femoral neck fracture: Surgery for "pertrochanteric" femoral neck fractures

The treatment of "pertrochanteric" femoral neck fractures usually involves screws or nails. During the operation, the broken bone is initially "aligned" by pulling and rotating it. Once the fracture has been repositioned properly, a short nail is driven from above into the femoral neck to stabilise it. With unstable fractures, a longer nail is implanted to provide better guidance. This surgical technique has been used countless times and takes around 30 minutes. Here too, full weight-bearing is possible immediately after the operation.