Results of Screw Fixation for Displaced Femoral Neck Fracture / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 772-780, 2007.
Artículo
en Coreano
| WPRIM
| ID: wpr-656791
ABSTRACT
PURPOSE:
This study retrospectively reviewed the results of a closed reduction and internal fixation with cannulated screws for a displaced femoral neck fracture. MATERIALS ANDMETHODS:
Among 631 patients between January 1991 and December 2000, 27 patients classified as Garden stage III or IV were treated with a closed reduction and internal fixation with cannulated screws. The mean follow-up duration was 4.5 years. The mean age of the patients was 56.5 years.RESULTS:
Union and the restoration of function was observed in 15 cases (55.6%), and failure occurred in 12 cases (44.4%). The cause of failure was early stage reduction loss due to a failure to obtain anatomical reduction on the surgical field in 4 cases, reduction loss and displacement during the follow up period after an appropriate reduction at surgery in 4 cases and avascular necrosis in 4 cases. Seven cases were converted to a total hip arthroplasty, 4 cases were converted to bipolar hemiarthroplasty and 1 case is currently being followed up.CONCLUSION:
A closed reduction and internal fixation for displaced femoral neck fracture showed a high failure rate. Therefore, an accurate anatomical reduction, firm internal fixation and efforts to prevent further unnecessary vascular injury will be needed to reduce the high failure rate and complications.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Estudios Retrospectivos
/
Estudios de Seguimiento
/
Artroplastia de Reemplazo de Cadera
/
Fracturas del Cuello Femoral
/
Cuello Femoral
/
Lesiones del Sistema Vascular
/
Hemiartroplastia
/
Necrosis
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Coreano
Revista:
The Journal of the Korean Orthopaedic Association
Año:
2007
Tipo del documento:
Artículo
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