Abstract
We report 13 cases of femoral neck fracture with hemiplegia that were surgically treated. Gait ability was investigated before injury, at hospital discharge, and at follow-up. There were 13 cases (9 females and 4 males) whose age ranged from 70 to 91 years (mean: 79 years). We treated all 13 patients with gamma nail. Nine patients (69.2%) regained their pretrauma walking ability. Four patients with dementia or major complications had poor results regarding the regaining of their pretrauma walking ability. Hemiplegia did not influence the results of the patients. Prompt firm fixation at the fracture site by gammma nailing allowed the patient to get out of bed and start weight bearing in the shortest postoperative span.
The results suggest that operative treatment is essentially effective in femoral neck fractures even if they are hemiplegic.
