State of the ArtFemoral Neck Fractures Current ManagementFlorschutz, Anthony V. MD, PhD; Langford, Joshua R. MD; Haidukewych, George J. MD; Koval, Kenneth J. MDAuthor Information Level One Orthopedics, Orlando Regional Medical Center, Orlando, FL. Reprints: Kenneth J. Koval, MD, Level One Orthopedics, Orlando Regional Medical Center, 1222 S Orange Avenue, Orlando, FL 32806 (e-mail: [email protected]). Dr. Koval is a consultant and receives royalties from Biomet. The remaining authors declare no conflicts of interest. Accepted January 13, 2015 Journal of Orthopaedic Trauma: March 2015 - Volume 29 - Issue 3 - p 121-129 doi: 10.1097/BOT.0000000000000291 Buy Metrics Abstract Summary: Femoral neck fractures are a commonly encountered injury in orthopaedic practice and result in significant morbidity and mortality. It is essential that surgeons are able to recognize specific fracture patterns and patient characteristics that indicate the use of particular implants and methods to effectively manage these injuries. Use of the Garden and Pauwels classification systems has remained the practical mainstay of femoral neck fracture characterization that help dictate appropriate treatment. Operative options include in situ fixation, closed or open reduction and internal fixation, hemiarthroplasty, and total hip arthroplasty. Recent reports demonstrate diversity among orthopaedic surgeons in regard to the optimal treatment of femoral neck fractures and changing trends in management. The present discussion focuses on the current indications and methods for femoral neck fracture management to provide direction with respect to appropriate and effective care of these injuries. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.