Intramedullary nailing pref2242ed treatment for fractures of the femoral shaft.
Treatment of displaced fracture consists of hemiarthroplasty or the use of multiple cannulated screws.
Displaced fracture mortality rate after 2 years is 23% and rate of treatment failure is 42% in the internal fixation group compared to 6% in the arthroplasty group. Primary arthroplasty is the treatment of choice for patients at least 70 years of age who have displaced femoral neck fracture.
Mortality rates of 18% at 90 days for femoral neck fractures have been recorded.