Osteosynthesis for a femoral neck fracture
A femoral neck fracture is an injury that directly affects a person’s ability to walk independently and maintain their usual lifestyle. This area has unique blood supply characteristics and is subjected to high mechanical load, which significantly increases the risk of nonunion and loss of weight-bearing function after a fracture. Osteosynthesis for a femoral neck fracture is indicated when it is important to preserve the native hip joint and create conditions for stable bone healing, particularly in active patients with adequate bone quality.
We treat patients with femoral neck fractures when precise anatomical restoration and stable fixation of bone fragments are required. In such injuries, it is critical to consider displacement, fracture angle, and the overall condition of the joint, as even minor deviations may affect walking ability and load transfer. During osteosynthesis, the goal is not only to stabilize the bone but also to preserve the biomechanics of the hip joint, which directly influences the recovery prognosis.
The choice of surgical strategy is made individually after evaluating the fracture pattern, imaging findings, and the patient’s general condition. We support patients throughout all stages of treatment, monitoring recovery and helping them regain weight-bearing ability and confidence in movement as early as possible, without pain or significant limitations.
Clinical features of a femoral neck fracture
Femoral neck fractures are highly clinically significant due to the unique blood supply of this region. Damage to the vessels supplying the femoral head can significantly affect the bone’s ability to heal and the future condition of the hip joint. Therefore, in such fractures it is important to consider not only the fracture line and degree of displacement, but also the potential risk of impaired blood supply, which directly influences the treatment prognosis.
The type of fracture and its location relative to the joint surface also play a crucial role. In some cases, preservation of the native joint is possible, while in others the risk of complications remains high even with seemingly minimal displacement. We assess fracture stability, bone quality, and the patient’s overall activity level, as there is no universal solution for femoral neck fractures. Errors in treatment strategy may lead to nonunion, pain under load, and loss of weight-bearing function.
For this reason, femoral neck fractures require a careful and individualized approach aimed not only at bone fixation but also at preserving the ability to walk and maintain independent mobility in the future.
Restoration of weight-bearing function after a femoral neck fracture
In a femoral neck fracture, the outcome of treatment depends not only on bone union but also on the patient’s ability to stand and walk confidently without pain or a sense of instability. Even with technically accurate fixation, reduced weight-bearing capacity or fear of loading the limb can significantly limit daily activity. Therefore, treatment planning focuses on restoring hip joint stability and enabling independent mobility.
After osteosynthesis, a properly structured rehabilitation phase with gradual weight-bearing progression plays a key role. We assess the healing process, the hip joint’s response to load, and the patient’s overall condition to prevent overload and minimize the risk of complications. A balanced recovery program helps reduce the likelihood of chronic pain, gait disturbances, and decreased confidence while walking.
Patient support continues throughout the entire recovery process, taking into account age, activity level, and daily functional needs. This comprehensive approach allows restoration of full weight-bearing capacity and preservation of the highest possible level of independence and quality of life after a femoral neck fracture.
Stages of treatment
Online consultation
An online consultation allows you to discuss your condition, complaints, and symptoms in advance. You can submit imaging studies and medical documents, ask questions, and receive a preliminary treatment plan before visiting the clinic.
Examination and 3D surgical planning
All necessary examinations are performed within one day. A CT scan of the joint is conducted, followed by computer-based 3D surgical planning and implant selection to ensure maximum precision.
Surgery
On the second day of the clinic stay, the surgical procedure is performed. Original implants by Stryker Corporation (USA) and the MAKO robotic-assisted system are used, ensuring a high level of precision in implant positioning.
Rehabilitation and follow-up
Recovery begins immediately after surgery. In most cases, you will be able to start walking on the day of the procedure. After discharge, we continue to provide online follow-up care, including recovery guidance, rehabilitation monitoring, and answers to any questions that may arise.
The surgery is performed personally by Zaur Sulumov
The doctor is personally involved in every stage of treatment — from the initial consultation and surgical planning to recovery monitoring and outcome evaluation.
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FAQ
The duration depends on the type of fracture and the fixation method. On average, surgery lasts from 30 to 120 minutes. In complex or comminuted fractures, operative time may be longer.
The timing of weight-bearing depends on the fracture location and stability of fixation. In some cases, movement is allowed within the first days after surgery, while full weight-bearing depends on the fracture type. For intra-articular fractures, a forced pause of 4–8 weeks may be required, with gradual progression under medical supervision and follow-up X-rays.
There is no pain during the operation due to anesthesia. After surgery, discomfort is managed with a modern pain-control protocol and typically decreases as the fracture heals.
Not always. Implants from leading manufacturers are commonly used, and in most cases plates and screws can remain in the body permanently. Removal is considered individually if there is discomfort or specific medical indications.
Average bone healing time ranges from 6 to 12 weeks, but this may vary depending on the patient’s age, fracture type, and overall health condition.
Rehabilitation focuses on restoring movement, muscle strength, and limb function. The program is individualized and may include physical therapy, physiotherapy, and gradual increase of load.
Not all fractures require surgical treatment. However, in cases of fragment displacement, instability, or risk of improper healing, osteosynthesis ensures accurate alignment and improves the functional outcome.