TAILORING TREATMENT FOR ELDERLY PATIENTS WITH DISPLACED FEMORAL NECK FRACTURES: A NARRATIVE REVIEW.

Abstract

Displaced femoral neck fractures in the elderly pose significant medical and social challenges due to their association with high morbidity, mortality, and healthcare costs. The increasing incidence of these fractures, driven by global population aging and osteoporosis prevalence, underscores the urgent need for effective management strategies. This review aims to comprehensively analyze the management strategies for displaced femoral neck fractures in elderly patients, focusing on evaluating surgical treatments and rehabilitation methods. The review synthesizes evidence from studies assessing surgical interventions, rehabilitation strategies, and patient outcomes. Surgical management options, including THA and hemiarthroplasty, are evaluated in terms of functional outcomes, complication rates, and long-term durability. Rehabilitation strategies, such as home-based versus institutional-based rehabilitation, are analyzed for their impact on functional recovery and quality of life. Patient-specific factors influencing treatment decisions and future directions in fracture management are also discussed. The findings of the review have implications for enhancing clinical practice and improving outcomes in elderly people with displaced FNFs. Understanding the comparative effectiveness of surgical interventions and rehabilitation strategies can guide healthcare professionals in personalized treatment planning, ultimately leading to better patient outcomes and quality of life. Clinical decision-makers can benefit from the review's insights when choosing surgical techniques and rehabilitation plans for senior patients with displaced femur neck fractures. These results can also be used by policymakers to develop protocols and guidelines that will optimize fracture management techniques and enhance the quality of care provided to this susceptible population.