Archives of Orthopaedic and Trauma Surgery

, Volume 130, Issue 4, pp 527–531 | Cite as

The Fixion expandable stem hemiarthroplasty for displaced femoral neck fracture: technical features and pilot study

  • Yoram Folman
  • Nimrod Ron
  • Shay Shabat
  • Gaetano Romano
  • Olimpio Galasso
Osteoporotic Fracture Management



Management of displaced femoral neck fracture in elderly patients is challenging due to the patient’s high risk profile, poor quality bone stock and muscle weakness.

Materials and methods

Fifty-one patients with displaced (Garden 3–4) intracapsular femoral neck fractures were treated with a newly designed Fixion expandable stem hemiarthroplasty implant and followed thereafter for a minimum of 6 months.


Thirty patients (58.8%) had concomitant diseases graded 3–4 by the ASA scoring system. Two patients (4.8%) incurred deep wound infections that necessitated hardware removal. One case (2.6%) of dislocation was treated by closed reduction. Forty-two patients (82.4%) survived >6 months and cooperated with the study protocol. Mild groin/thigh pain was reported by 11 patients (26.2%). Twenty-six (61.9%) had lost 1–2 out of 4 grades of mobility.


Fixion implant may be considered a further step in the evolution of femoral joint hemiarthroplasty. In the short term, it has proven to be as effective as cemented implant and to be user-friendly for the surgeon. It is also anticipated to be feasible whenever revision is required.


Femoral neck fracture Prosthetic arthroplasty Hip hemiarthroplasty Expandable stem body 


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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Yoram Folman
    • 1
  • Nimrod Ron
    • 1
  • Shay Shabat
    • 1
  • Gaetano Romano
    • 2
  • Olimpio Galasso
    • 3
  1. 1.Department of OrthopaedicsHillel Jaffe MCHaderaIsrael
  2. 2.Department of Orthopaedic SurgeryCardarelli MCNaplesItaly
  3. 3.Division of Orthpaedic SurgeryUniversity “Magna Graecia”CatanzaroItaly

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