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July 15, 1961

Use of Hip Prosthesis in Femoral Neck Fractures

Author Affiliations


From the University Hospitals, and Highland View Hospital, and the Department of Orthopedic Surgery, Western Reserve University School of Medicine.

JAMA. 1961;177(2):100-103. doi:10.1001/jama.1961.03040280004002

A follow-up study of 90 patients with femoral neck fractures treated with intramedullary stem hip prostheses from 1954 through 1958 revealed that 74 patients had excellent or good results. From this experience it was felt that the use of a prosthesis in an acute femoral neck fracture is indicated in patients chronologically or physiologically over 70 years of age and in younger patients with severe physical or mental disability. Full weight-bearing was encouraged 2 to 3 weeks postoperatively. This facilititates care in the hospital, shortens the period of hospitalization, and allows most patients practically to regain the prefracture state of activity in a much shorter time than do patients treated by hip nailing.