| Objective To compare the efficacy of hollow compression screw internal fixation for the treatment of senile displaced femoral neck fractures between emergency operations and delayed operations. Methods The clinical data of 99 patients, who received hollow compression screw internal fixation for the treatment of femoral neck fractures from December 2000 to December 2010, were analyzed retrospectively. The patients were divided into emergency group (n=52) and delayed group (n=47). The postoperative fracture reduction, fracture healing, avascular necrosis of the femoral head, the incidence of collapse, the function of hip joint, and systemic complications 1 year and 2 years after the operation were compared. Results The rate of fracture healing, the rate of avascular necrosis of the femoral head, and the excellent rate of the hip joint function, the rate of the femoral head necrosis were higher in emergency group than those in the delayed group, and the difference between the two groups was significant (P<0.05). Conclusion For senile patients with displaced femoral neck fractures, the efficacy of closed reduction with hollow compression screw fixation of emergency operation is superior to that of delayed operation. |