INTRODUCTION: In the civilian trauma literature, @entity2249 in young adults are considered an orthopedic 'urgency'. To our knowledge, there have been no studies looking at the outcomes of these injuries in the combat setting. The purpose of this study is to determine the outcomes of war related @entity2249 ; the rates @entity2530 associated with these injuries as well as the effect time to fixation has on the development of @entity2530 . METHODS: We performed a retrospective review of 21 @entity1 who sustained combat related @entity2249 from October 2001 through October 2013. We collected demographic data, time to fixation, time to union, incidence of @entity2530 , as well as complications and final recreational activity status. RESULTS: Our study included 21 males (100%). The average length of follow up was 19.0 (2.7-62.3) months, and the average length of radiographic follow up was 21.4 months. The average age was 25.2 (21-36) years. @entity174 were sustained in 71.4% of @entity1 and 95.2% had a Pauwels' type 3 @entity174 . 56.9% had initial reduction and fixation within 24h of injury. Percutaneous screw fixation and dynamic hip screws were definitive fixation in 57.1% and 23.8% of @entity1 , respectively, while the remainder had a cephalomedullary device or a salvage procedure. The average time to union was 5.5 months. There was 1 case of nonunion and 1 case of delayed union. Three of the @entity1 (16.7%) developed @entity2530 of the @entity2738 , 2 of which were initially reduced within 24h of injury. There were no statistically significant differences between time to fixation, type of reduction, or presence of displacement as a predictor of the development of @entity2530 . DISCUSSION: We found a high rate of displaced and high Pauwels' angle @entity174 , consistent with the high-energy injury mechanisms. With nearly a two-year average radiographic follow-up, the incidence of @entity2530 was 16.7%, despite only half of our @entity1 receiving initial reduction within 24h of injury. Urgent reduction and fixation continues to be of utmost importance to decrease the risk of @entity2738 @entity2530 .

Outcomes of war related XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity2249 :: ('MESH:D005265', 'Disease') :: ['femoral neck fractures'] @entity174 :: ('MESH:D050723', 'Disease') :: ['Displaced fractures', 'fractures', 'fracture'] @entity2738 :: ('MESH:D005271', 'Disease') :: ['femoral head'] @entity2530 :: ('MESH:D010020', 'Disease') :: ['avascular necrosis']
@entity2249 :: (MESH:D005265,Disease) :: ['femoral neck fractures']
