Femoral Neck Fracture Fixation Failure: A Review and Stepwise Approach

Femoral neck fractures are challenging injuries to treat, as they commonly involve high-energy trauma mechanisms and displaced fracture patterns. Despite the effective treatment techniques and devices available to fix these fractures, the cases of fixation failure following femoral neck fractures are not uncommon. The most important underlying causes of fixation failure include nonunion, avascular necrosis, reoperation, infection, and implant failure. The management of this condition depends mainly on the features of the patient and fracture. In this educational corner, we are aimed to present a review of and stepwise approach to the management of fixation failure following femoral neck fracture.