How do Orthopedic Surgeons Manage Displaced Femoral Neck Fracture in the Middle-Aged Patient? Brazilian Survey of 78 Orthopaedic Surgeons

Abstract Objective The aim of the present study was to evaluate the practices and preferences of Brazilian orthopedic surgeons for the treatment of femoral neck fractures in middleaged patients. Methods A survey containing 10 images of femoral neck fractures was sent to a group of 100 orthopedic...

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Main Authors: Vincenzo Giordano, Marcos Giordano, Rodrigo Aquino, João Otávio Grossi, Hudson Senna, Hilton Augusto Koch
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda.
Series:Revista Brasileira de Ortopedia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000300288&lng=en&tlng=en
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author Vincenzo Giordano
Marcos Giordano
Rodrigo Aquino
João Otávio Grossi
Hudson Senna
Hilton Augusto Koch
author_facet Vincenzo Giordano
Marcos Giordano
Rodrigo Aquino
João Otávio Grossi
Hudson Senna
Hilton Augusto Koch
author_sort Vincenzo Giordano
collection DOAJ
description Abstract Objective The aim of the present study was to evaluate the practices and preferences of Brazilian orthopedic surgeons for the treatment of femoral neck fractures in middleaged patients. Methods A survey containing 10 images of femoral neck fractures was sent to a group of 100 orthopedic surgeons, all of them members of the Brazilian Society of Orthopedics and Traumatology. The questionnaire asked the treatment option for cases of nondisplaced and displaced fractures of the femoral neck in middle-aged patients, that is, those between 50 and 69 years old. Descriptive and inferential statistical analyzes were performed using the chi-squared (χ2) and the Fisher exact tests. The level of significance was 5%. Results The survey was answered by 78% of the orthopedic surgeons invited to participate in the study. There was no significant difference in the treatment method distribution between generalists and specialists (p = 0.16) in the sample of nondisplaced femoral neck fractures. There was a highly significant difference in the treatmentmethod distribution between generalists and specialists (p < 0.0001) in the sample of displaced fractures of the femoral neck. Conclusion Preservation of the femoral head through multiple cannulated screws fixation is the treatment of choice for nondisplaced femoral neck fractures for both
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spelling doaj.art-9886f31cfc834effbc7992820b8484692024-03-03T08:37:46ZengThieme Revinter Publicações Ltda.Revista Brasileira de Ortopedia1982-437854328829410.1055/s-0039-1691761S0102-36162019000300288How do Orthopedic Surgeons Manage Displaced Femoral Neck Fracture in the Middle-Aged Patient? Brazilian Survey of 78 Orthopaedic SurgeonsVincenzo GiordanoMarcos GiordanoRodrigo AquinoJoão Otávio GrossiHudson SennaHilton Augusto KochAbstract Objective The aim of the present study was to evaluate the practices and preferences of Brazilian orthopedic surgeons for the treatment of femoral neck fractures in middleaged patients. Methods A survey containing 10 images of femoral neck fractures was sent to a group of 100 orthopedic surgeons, all of them members of the Brazilian Society of Orthopedics and Traumatology. The questionnaire asked the treatment option for cases of nondisplaced and displaced fractures of the femoral neck in middle-aged patients, that is, those between 50 and 69 years old. Descriptive and inferential statistical analyzes were performed using the chi-squared (χ2) and the Fisher exact tests. The level of significance was 5%. Results The survey was answered by 78% of the orthopedic surgeons invited to participate in the study. There was no significant difference in the treatment method distribution between generalists and specialists (p = 0.16) in the sample of nondisplaced femoral neck fractures. There was a highly significant difference in the treatmentmethod distribution between generalists and specialists (p < 0.0001) in the sample of displaced fractures of the femoral neck. Conclusion Preservation of the femoral head through multiple cannulated screws fixation is the treatment of choice for nondisplaced femoral neck fractures for bothhttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000300288&lng=en&tlng=enfêmurfraturas do colo femoralparafusos ósseosartroplastia
spellingShingle Vincenzo Giordano
Marcos Giordano
Rodrigo Aquino
João Otávio Grossi
Hudson Senna
Hilton Augusto Koch
How do Orthopedic Surgeons Manage Displaced Femoral Neck Fracture in the Middle-Aged Patient? Brazilian Survey of 78 Orthopaedic Surgeons
Revista Brasileira de Ortopedia
fêmur
fraturas do colo femoral
parafusos ósseos
artroplastia
title How do Orthopedic Surgeons Manage Displaced Femoral Neck Fracture in the Middle-Aged Patient? Brazilian Survey of 78 Orthopaedic Surgeons
title_full How do Orthopedic Surgeons Manage Displaced Femoral Neck Fracture in the Middle-Aged Patient? Brazilian Survey of 78 Orthopaedic Surgeons
title_fullStr How do Orthopedic Surgeons Manage Displaced Femoral Neck Fracture in the Middle-Aged Patient? Brazilian Survey of 78 Orthopaedic Surgeons
title_full_unstemmed How do Orthopedic Surgeons Manage Displaced Femoral Neck Fracture in the Middle-Aged Patient? Brazilian Survey of 78 Orthopaedic Surgeons
title_short How do Orthopedic Surgeons Manage Displaced Femoral Neck Fracture in the Middle-Aged Patient? Brazilian Survey of 78 Orthopaedic Surgeons
title_sort how do orthopedic surgeons manage displaced femoral neck fracture in the middle aged patient brazilian survey of 78 orthopaedic surgeons
topic fêmur
fraturas do colo femoral
parafusos ósseos
artroplastia
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000300288&lng=en&tlng=en
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