Abstract
Intracapsular fracture neck of the femur (NOF) has been termed as “unsolved” fracture. Despite the ever-increasing literature on hip fractures, current treatment guidelines are conflicting and provide no authoritative, evidence-based recommendations on the ideal timing and modality of surgical management. Studies are going on with regard to solving the mystery behind the fracture NOF, still many of the controversial issues are remaining as a big challenge to orthopedic surgeons across the world. We are trying to enlighten a few of the controversial issues here with regard to:Classification of fracture NOFTreatment for undisplaced fractureTiming of surgery for a young patient with a displaced fracture NOFReduction techniques of the fractureInternal fixation (IF) or replacement for displaced fracture NOFPositioning of the implant for IFAspiration of the hipSurgical approachesCemented versus uncemented prosthesisHemiarthroplasty versus total hip arthroplastyPostoperative weight-bearing and moblilization.
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