What is the preferred management for an undisplaced intracapsular hip fracture?

The preferred management for an undisplaced intracapsular hip fracture is to use a cannulated screw. This method is particularly effective in maintaining the alignment of the fracture and promoting healing while minimizing the complications associated with more invasive procedures.

Cannulated screws allow for precise placement within the femoral neck and provide adequate stabilization for undisplaced fractures. This technique typically involves less surgical trauma and has a quicker recovery time compared to more invasive surgical interventions.

The other methods, while potentially suitable for different types of hip fractures, do not offer the same benefits for undisplaced intracapsular fractures. Dynamic hip screws are often used for displaced fractures where the fracture needs to be stabilized and compressed to ensure proper healing, while total hip replacement usually applies to more complex or displaced fractures, especially in older patients or those with pre-existing joint issues. Supportive care alone may not provide the necessary stability for heal and can lead to complications like non-union or avascular necrosis, particularly with the nature of intracapsular fractures. Thus, cannulated screws represent the most appropriate treatment option for addressing an undisplaced intracapsular hip fracture effectively.