The results in this series of impacted fractures of the femoral neck indicate that, with careful evaluation of each patient, excellent results can be obtained without operation and without prolonged hospitalization in a high percentage of these fractures. This regimen is not one to be advocated unless the patients can be followed with extreme care. A few of these impacted fractures will disimpact, requiring reduction and nailing.
This series indicates that Pauwels' rule regarding the cases in his Type I group is valid. There are apparently many exceptions to his statements regarding those fractures in the Type II and III groups.
Copyright 1960 by The Journal of Bone and Joint Surgery, Incorporated