Abstract

Orthopaedic surgeons are justifiably confused by the multitude of different implants available for osteosynthesis of femoral neck fractures. Valid comparisons between implants to determine which is best can only be made within the context of randomized trials. Studies to date suggest a similar risk of fracture healing complications for either a multiple screw technique or a sliding hip screw. At present it is not possible to state what is the optimal number or type of screws. Aspects of surgical technique are probably of greater importance than the actual type of implant used.

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