The treatment of forty patients with fifty-six post-irradiation fractures of the femoral neck is presented. Because of the difficulty in predicting the outcome of non-surgical therapy, some form of internal fixation or reconstructive procedure
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is recommended in all patients when the fracture is diagnosed. The fixation should be performed in situ if feasible. If reduction is attempted, additional fixation with a bone graft is recommended. Osteotomy is not applicable for primary treatment of this type of fracture.