Vol. 11, Issue 4 (2025)

Introduction: Femoral neck fractures in elderly patients are serious due to their frequency and the morbidity and mortality they cause. The aim of this study was to evaluate the functional outcomes and prognosis.

Materials and Methods : This was a retrospective, observational and analytical study of 72 (76 hips) out of 84 cases of femoral neck fractures treated with intermediate prostheses in two hospitals in Togo between 2017 and 2024. The median age was 75 years (62-85) with a predominance of males (23 females and 49 males). The mean Parker score was 8.6 (9-5). Complications were recorded. The Postel Merle d'Aubigné and Harris scores were used to assess the condition of the hip. Patient and implant survival were analysed.

Results: 48 patients (52 hips) were reviewed at one year; 17 had died and 15 were lost to follow-up. Comorbidities found were diabetes (20.83%) and hypertension (48.61%). Garden type III and IV femoral neck fractures were the most common. The Moore approach was used in all patients. The stems were cemented in more than half of the cases. The PMA score was satisfactory; 4 patients presented with dislocation and 3 cases of periprosthetic fractures.

Conclusion: Intermediate hip replacement is a common procedure that produces satisfactory results and restores functional independence. The delay in treatment and comorbidities are risk factors for excess mortality.