Bilateral stress fractures of femoral neck in non-athletes: a report of four cases / 中华创伤杂志(英文版)
Chinese Journal of Traumatology
; (6): 113-117, 2013.
Article
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| WPRIM
| ID: wpr-325729
Biblioteca responsable:
WPRO
ABSTRACT
Femoral neck stress fractures (FNSFs) are rare, constituting only 5% of all stress fractures in young adults. These fractures are usually seen in athletes, military recruits and patients with underlying metabolic diseases. The treatment of FNSFs is still controversial because of the inherent complications associated with the treatment procedure. We came across 4 cases of bilateral FNSFs in non-athletic individuals who were manual labourers without underlying bony disorders. Two patients with FNSFs and coxa vara deformity on both sides were managed by subtrochanteric valgus osteotomy and dynamic hip screw fixation. One of the remaining two patients was treated by cannulated cancellous screw fixation on one side and subtrochanteric valgus osteotomy on the other side. The fourth patient received subtrochanteric valgus osteotomy on one side and bipolar hemiarthroplasty on the other side after failed cannulated screw fixation. All the fractures healed without any complications. No evidence of avascular necrosis or arthritis was noted in our series. Subtrochanteric valgus osteotomy restores normal neck-shaft angle in patients suffering from FNSFs combined with coxa vara deformity. Moreover, it helps to bring the forces acting around the hip to normal biomechanical levels, leading to fracture union and better results. Replacement arthroplasty is recommended to patients who fail to achieve bony union after fixation.
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Índice:
WPRIM
Asunto principal:
Osteotomía
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Cirugía General
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Tornillos Óseos
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Fracturas por Estrés
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Curación de Fractura
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Fracturas del Cuello Femoral
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Hemiartroplastia
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Fijación Interna de Fracturas
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Métodos
Tipo de estudio:
Guideline
Límite:
Adult
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Female
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Humans
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Male
Idioma:
En
Revista:
Chinese Journal of Traumatology
Año:
2013
Tipo del documento:
Article