From the Guidelines
Rockwood and Green's Fractures in Adults is a highly recommended reference for managing fractures in adult patients, providing comprehensive guidance on fracture classification, treatment approaches, and expected outcomes. This textbook is widely regarded as one of the definitive resources in orthopedic trauma and is regularly used by orthopedic surgeons, emergency physicians, and other healthcare providers who manage fractures. The text covers virtually all types of adult fractures, including detailed anatomical considerations, biomechanical principles, and evidence-based management protocols for fractures throughout the skeletal system.
According to the American Academy of Orthopaedic Surgeons (AAOS) clinical practice guideline summary on the management of hip fractures in older adults 1, the use of cemented femoral stems in arthroplasty for the treatment of hip fractures in older adults is strongly recommended. Additionally, the guideline supports the use of total hip arthroplasty (THA) in properly selected patients with unstable (displaced) femoral neck fractures, as well as the use of venous thromboembolism (VTE) prophylaxis in elderly hip fracture patients 1.
Key points to consider when managing fractures in adult patients include:
- The importance of interdisciplinary care programs to improve functional outcomes and decrease complications 1
- The use of evidence-based management protocols for fractures throughout the skeletal system
- The consideration of minimally invasive approaches, new fixation devices, and rehabilitation protocols in fracture care
- The need for regular updates to incorporate the latest advances in fracture care, as reflected in the regularly updated editions of Rockwood and Green's Fractures in Adults.
Overall, Rockwood and Green's Fractures in Adults is an essential resource for clinicians managing adult fractures, providing a comprehensive and practical guide for day-to-day fracture care and a thorough understanding of the underlying principles of fracture management.
From the Research
Managing Fractures in Adult Patients
- Rockwood and Green's Fractures in Adults is a comprehensive resource for managing fractures in adult patients, but the provided studies do not directly reference this book.
- However, the studies discuss various aspects of fracture management, including internal fixation devices and surgical techniques.
Internal Fixation Devices
- A study published in 2024 2 compared the efficacy of four internal fixation devices for femoral neck fractures in young adults, finding that the medial buttress plate (MBP) exhibited superior efficacy in improving hip function and reducing complications.
- Another study from 2020 3 reported on the complications after internal screw fixation of nondisplaced femoral neck fractures in elderly patients, highlighting the need for careful consideration of treatment options in this population.
Surgical Techniques
- A 2024 study 4 introduced a novel guide device for quick and accurate placement of cannulated screws in femoral neck fractures, demonstrating improved accuracy and reduced operation time compared to conventional techniques.
- A 2025 prospective multicenter randomized controlled trial 5 compared the femoral neck system (FNS) with cannulated screws combined with a medial plate for femoral neck fractures in young and middle-aged patients, finding no significant difference in bone union rate or complications between the two groups.
Treatment Options
- A 2024 study 6 compared cannulated screws with hemiarthroplasty for femoral neck fractures, finding no difference in mortality between the two treatment options, but a lower reoperation risk with hemiarthroplasty.
- The choice of treatment option depends on various factors, including patient age, fracture type, and surgeon preference, as discussed in the studies 2, 3, 6, 4, 5.