Challenging the dogma to "always operate" acute hip fractures: a proof-of-concept pilot study for nonoperative management of undisplaced femoral neck fractures

The notion that all acute hip fractures are a surgical entity requiring either surgical fracture fixation or hip replacement represents a historic dogma, particularly within the orthopaedic community of the United States. The present study from a European regional trauma center was designed to chall...

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Bibliographic Details
Published in:Patient safety in surgery 2022-04, Vol.16 (1), p.15-15, Article 15
Main Authors: Vinas-Rios, Juan Manuel, Wölm, Jan-Henning, Sellei, Richard Martin, Ladenburger, Andreas
Format: Article
Language:English
Subjects:
Age
Biomedical materials
Complications
Conservative treatment
Criteria
Dementia
Emergency medical services
Femur
Fracture impaction
Fractures
Gardens & gardening
Health aspects
Hip
Hip joint
Infections
Internal fixation in fractures
Necrosis
Orthopedics
Pain
Patient satisfaction
Patients
Surgery
Surgical site infections
Trauma
Trauma centers
Tumors
Undisplaced femoral neck fracture
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Summary:The notion that all acute hip fractures are a surgical entity requiring either surgical fracture fixation or hip replacement represents a historic dogma, particularly within the orthopaedic community of the United States. The present study from a European regional trauma center was designed to challenge the notion that stable and undisplaced femoral neck fractures represent an absolute indication for surgical management. The purpose of this study was to investigate the hypothesis that stable and undisplaced femoral neck fractures of the Garden types 1 and 2 can be safely managed nonoperatively. A retrospective observational cohort study was carried out at a regional orthopaedic trauma center in Germany from January 1, 2016 to June 30, 2021. The inclusion criteria specified patients older than 18 years suffering a 
ISSN:1754-9493
1754-9493
DOI:10.1186/s13037-022-00324-x