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

References

Original Guideline