Femoral Neck Fractures · Ortho Skills (Real Life)

Q-7 · Femoral Neck Fractures · trauma · A–E keys

An independent 82-year-old with a displaced Garden IV femoral neck fracture is medically ready overnight. Which counseling is most consistent with this Topic?

• A.Urgent anatomic reduction and cannulated screws are preferred because arthroplasty has no role after 80
• B.Delay surgery 5–7 days for “full medical optimization” even if reversible issues are already treated
• C.Arthroplasty is frequently preferred; hemi vs THA depends on activity, acetabulum, and dislocation risk, not a slogan
• D.Nonoperative care is first-line if the pulse is intact