In this study we report 31 cases of femoral neck fractures treated by closed reduction and internal fixation using hook-pins (osteosynthesis). During the postoperative follow-up period 3 patients died and therefore were not included in the clinical and radiological analysis of this study. The average follow-up for the remaining 28 patients was 18 months. There were 11 (39%) non-displaced fractures (Garden 1 and 2) and 17 (60.7%) displaced fractures (Garden 3 and 4). There were no peri-operative or early post-operative complications. Incidence of non-union occurred in 6 patients (21%), and 3 patients (10.7%) underwent secondary arthroplasty surgery (1 hemiarthroplasty and 2 total hip replacements). We conclude that the use of hook-pins in the internal fixation of femoral neck fractures in general and in displaced fractures, in particular, is a safe and simple procedure with low peri-operative and post-operative morbidity even when performed on elderly patients.

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