Return to Duty in Military Members Following Surgical Treatment of Incomplete Femoral Neck Fractures


The purpose of this study was to determine whether active duty military members treated surgically for incomplete femoral neck stress fractures (FNSFs) return to duty. A retrospective review of 53 patients was evaluated to determine the rate of return to duty (RTD) related to sex, branch of service, side of fracture, and signs of femoroacetabular impingement (FAI). Signs of FAI were measured and compared to RTD. Sixty-seven percent of the sample population did not return to duty. Eighty-three percent of Marine Corps members did not return to duty and 18% of Navy active duty members did not return to duty. This finding was statistically significant (p < .001). Average follow-up was 25 months. Surgical fixation of FNSFs does not seem to affect the ability to return to active duty; however, it did prevent progression to complete or displaced fracture in all of the study patients. (Journal of Surgical Orthopaedic Advances 27(4):312–316, 2018) Key words: femoral neck stress fractures, femoroacetabular impingement, functional outcomes, hip/pelvis/thigh, military members, surgical fixation

LT Clare E. Griffis, MD; LT Vanna Rocchi, DO; LCDR Grant Cochran, MD; and CDR Kevin M. Kuhn, MD