From April 1992 to December 1998, osteosynthesis and prosthetic procedures were performed on 352 cases of femoral neck fractures and clinical examinations were performed on 30 cases (8.5%) over 90 years old. The 30 cases (2 males and 28 females) whose age ranged from 90 to 99 years (mean, 92.1 years) were followed up 2 weeks to 6.5 years (mean, 2.25 years) after surgery. One patient died 2 weeks after surgery, but 22 patients (84.6%) lived over 1 year after surgery and 17 patients (56.7%) were alive at the latest follow-up. Twenty one patients (70%) regained the ability to walk by the time of their discharge. In spite of early post-operative rehabilitation, the activities of daily living (ADL) at discharge were lower than that before injury due to senile dementia, celebral infarction, hemiplegia, or a major complication. In our cases osteosynthesis procedures for intracapsular femoral neck fractures produced a good prognosis and may better than prosthetic procedures in some cases.
