Osteosynthesis of femoral neck fracture with cannulated screws. Prognostic factors and results in 93 cases
Abstract Background: Reduction and osteosynthesis with cannulated screws in femoral neck fracture is a valid therapeutic option. Our objective is to identify prognostic factors and risk groups. Methods: We studied retrospectively 93 femoral neck fractures treated with internal fixation with cannul...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Asociación Argentina de Ortopedia y Traumatología
2014-03-01
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| Series: | Revista de la Asociación Argentina de Ortopedia y Traumatología |
| Subjects: | |
| Online Access: | http://ojs.aaot.org.ar/ojsr/index.php/AAOTMAG/article/view/160 |
| _version_ | 1827611715724902400 |
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| author | Sebastián Pereira Ximena Calvo Alfonso Lugones Gabriel Vindver Fernando Bidolegui |
| author_facet | Sebastián Pereira Ximena Calvo Alfonso Lugones Gabriel Vindver Fernando Bidolegui |
| author_sort | Sebastián Pereira |
| collection | DOAJ |
| description | Abstract
Background: Reduction and osteosynthesis with cannulated screws in femoral neck fracture is a valid therapeutic option. Our objective is to identify prognostic factors and risk groups.
Methods: We studied retrospectively 93 femoral neck fractures treated with internal fixation with cannulated screw between June 1995 and March 2011 (71 non-displaced and 22 displaced).
Results: In 82 of the 93 cases we observed bone consolidation of the fracture. Eleven patients presented complications (5 non-union and 6 avascular necrosis). Consolidation rates were 95.8% and 63.6% in the non-displaced group and the displaced group of fractures. If the displaced fractures presented conminution, consolidation rate was 50% and 71.4% in the group without conminution. The consolidation index was 46.1% with closed reduction and 88% with open reduction.
Conclusion: Closed reduction and internal fixation with cannulated screws in non-displaced femoral neck fractures, regardless of the patient’s age, is a successful method. In displaced fractures, on the other hand, necrosis free consolidation is less predictable, so its indication must be evaluated carefully. |
| first_indexed | 2024-03-09T08:11:33Z |
| format | Article |
| id | doaj.art-7cec48b05992488fb24e4d998b0e09d8 |
| institution | Directory Open Access Journal |
| issn | 1515-1786 1852-7434 |
| language | English |
| last_indexed | 2024-03-09T08:11:33Z |
| publishDate | 2014-03-01 |
| publisher | Asociación Argentina de Ortopedia y Traumatología |
| record_format | Article |
| series | Revista de la Asociación Argentina de Ortopedia y Traumatología |
| spelling | doaj.art-7cec48b05992488fb24e4d998b0e09d82023-12-02T23:24:18ZengAsociación Argentina de Ortopedia y TraumatologíaRevista de la Asociación Argentina de Ortopedia y Traumatología1515-17861852-74342014-03-01791273410.15417/16074Osteosynthesis of femoral neck fracture with cannulated screws. Prognostic factors and results in 93 casesSebastián PereiraXimena CalvoAlfonso LugonesGabriel VindverFernando BidoleguiAbstract Background: Reduction and osteosynthesis with cannulated screws in femoral neck fracture is a valid therapeutic option. Our objective is to identify prognostic factors and risk groups. Methods: We studied retrospectively 93 femoral neck fractures treated with internal fixation with cannulated screw between June 1995 and March 2011 (71 non-displaced and 22 displaced). Results: In 82 of the 93 cases we observed bone consolidation of the fracture. Eleven patients presented complications (5 non-union and 6 avascular necrosis). Consolidation rates were 95.8% and 63.6% in the non-displaced group and the displaced group of fractures. If the displaced fractures presented conminution, consolidation rate was 50% and 71.4% in the group without conminution. The consolidation index was 46.1% with closed reduction and 88% with open reduction. Conclusion: Closed reduction and internal fixation with cannulated screws in non-displaced femoral neck fractures, regardless of the patient’s age, is a successful method. In displaced fractures, on the other hand, necrosis free consolidation is less predictable, so its indication must be evaluated carefully.http://ojs.aaot.org.ar/ojsr/index.php/AAOTMAG/article/view/160fractura intracapsular de caderaconminucióntornillos canuladosfemoral neck fracturecomminutioncannulated screws |
| spellingShingle | Sebastián Pereira Ximena Calvo Alfonso Lugones Gabriel Vindver Fernando Bidolegui Osteosynthesis of femoral neck fracture with cannulated screws. Prognostic factors and results in 93 cases Revista de la Asociación Argentina de Ortopedia y Traumatología fractura intracapsular de cadera conminución tornillos canulados femoral neck fracture comminution cannulated screws |
| title | Osteosynthesis of femoral neck fracture with cannulated screws. Prognostic factors and results in 93 cases |
| title_full | Osteosynthesis of femoral neck fracture with cannulated screws. Prognostic factors and results in 93 cases |
| title_fullStr | Osteosynthesis of femoral neck fracture with cannulated screws. Prognostic factors and results in 93 cases |
| title_full_unstemmed | Osteosynthesis of femoral neck fracture with cannulated screws. Prognostic factors and results in 93 cases |
| title_short | Osteosynthesis of femoral neck fracture with cannulated screws. Prognostic factors and results in 93 cases |
| title_sort | osteosynthesis of femoral neck fracture with cannulated screws prognostic factors and results in 93 cases |
| topic | fractura intracapsular de cadera conminución tornillos canulados femoral neck fracture comminution cannulated screws |
| url | http://ojs.aaot.org.ar/ojsr/index.php/AAOTMAG/article/view/160 |
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