Abstract
[Purpose] We investigated the relation between activities of daily living (ADL) of patients with femoral neck non-union and the state of femoral neck fractures. [Methods] Four patients with femoral neck fracture (Garden Type IV) were subjected to physical therapy, the progress of their ADL and the state of the bone fracture by X-ray were assessed. [Results] Although all hip fractures became a false joint, all patients gained standing ability due to decreasing pain of fracture by two months. X-rays showed narrowing and calcification of the space in the femoral pseudo joint. This radiological feature is associated with the degree of pain. [Conclusion] Early physical therapy for femoral neck fracture patients was effective at securing good ADL even for non-union hip fracture patients as it prevented muscle atrophy and pain due to stabilization of the pseudoarthrosis.