In discussing the subject of fractures of the neck of the femur, one must recognize at once certain "inevitables" which create a most difficult problem. These are (1) the advanced age of patients affected by this type of fracture, (2) the peculiar character of the bone that is directly involved. (3) the quality and distribution of the blood supply at the site of injury and (4) a weak anatomic location from the point of view of mechanics. One is handicapped at the very start with an old person, whose hip is broken in a place not only where the bone is narrowest and periosteal callous never forms, but where the blood supply is scanty and vulnerable and an enormous amount of mechanical strain is experienced.
The problem then, so far as treatment is concerned. is not an easy one to solve and, despite all efforts, still remains a challenge. To