Results of closed reduction and pinning fixation of femoral neck fractures

ABSTRACT

In this study we report 31 cases of femoral neck fractures treated by closed reduction and internal fixation using hookpins [osteosynthesis]. During the postoperative follow-up period 3 patients died and therefore were not included in the clinical and radiological analysis of this study. The average follow-up for the remaining 28 patients was 18 months. There were 11 [39%] non-displaced fractures [Garden 1 and 2] and 17 [60.7%] displaced fractures [Garden 3 and 4]. There were no peri-operative or early post-operative complications. Incidence of non-union occurred in 6 patients [21%], and 3 patients [10.7%] underwent secondary arthroplasty surgery [1 hemiarthroplasty and 2 total hip replacements]. We conclude that the use of hook-pins in the internal fixation of femoral neck fractures in general and in displaced fractures, in particular, is a safe and simple procedure with low perioperaive and post-operative morbidity even when performed on elderly patients