Guidelines
Choice of Surgical Technique
Intracapsular Fracture
- Displaced intracapsular fracture → hip replacement (arthroplasty) with cemented implants
- Total hip replacement is preferred for fit patients
- Partial hip replacement for unfit patients
- Undisplaced intracapsular fracture → internal fixation (cannulated screws or sliding hip screw)
- This is not explicitly stated by NICE, but is standard practice
Extracapsular Fracture
- Subtrochanteric fracture → intramedullary nail
- Intertrochanteric fracture → sliding hip screw