Femoral Neck Fractures in Young and Middle-Aged Adults: Pearls and Pitfalls.

The management of femoral neck fracture in young and middle-aged adults remains challenging. Although the influence of timing on the outcome is controversial, surgical management within 12 hours is recommended. Reduction quality is the most important modifiable factor that is correlated with outcomes. The rates of osteonecrosis and nonunion remain high and the patients need to be informed of this at the beginning of treatment.