Clinical progress of Pauwels type III for femoral neck fractures in young adults

Abstract

In recent years, the incidence of femoral neck fractures in young adults has been increasing year by year due to changes in means of transportation and people’s living habits, and most of them are Pauwels type III fractures. The improved Pauwels classification is more stable than the original protocol and is accepted by most orthopedists. However, its internal fixation methods are various. There are hollow compression screws, dynamic hip screws, and percutaneous compression plates, and so on. But there is still no golden standard. The new internal fixation method named percutaneous compression plate (PCCP) has the advantages of less trauma, less bleeding, better anti-rotation, fewer complications, lower early mortality, and higher Harris score compared to previous surgical procedures. More randomized, multicenter, and prospective trials are still needed to confirm it. Key words: Femoral neck fractures; Young adult; Bone plates