A 78-year-old woman with an undisplaced intracapsular femoral neck fracture (Garden Type I) who is independently ambulant and medically fit is best managed by:

• A Conservative management with bed rest and traction
• B Hemi-arthroplasty (Austin Moore prosthesis)
• C Total hip replacement
• D Internal fixation with parallel cancellous screws ✓

Explanation

Garden Type I (incomplete/impacted) and Type II (complete undisplaced) intracapsular femoral neck fractures in elderly patients who are independently ambulant are best treated by internal fixation with cannulated cancellous screws (typically three screws in an inverted triangle configuration). The fracture is undisplaced and the blood supply is likely intact, so there is a good chance of union without avascular necrosis. Hemiarthroplasty is reserved for displaced intracapsular fractures (Garden III/IV) in elderly patients, and THR is preferred in active elderly patients with displaced fractures and good bone stock.

Reference: Maheshwari Essential Orthopaedics, 6th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.