Review of a single contemporary femoral neck fracture fixation method in young patients.
Affiliation
Department of Orthopedics, Midlands Regional Hospital, Tullamore, Ireland. shwanhenari@hotmail.comIssue Date
2011-03MeSH
AdolescentAdult
Female
Femoral Neck Fractures
Fracture Fixation, Internal
Humans
Male
Middle Aged
Retrospective Studies
Treatment Outcome
Young Adult
Metadata
Show full item recordCitation
Review of a single contemporary femoral neck fracture fixation method in young patients. 2011, 34 (3):171 OrthopedicsJournal
OrthopedicsDOI
10.3928/01477447-20110124-09PubMed ID
21410127Additional Links
http://www.ncbi.nlm.nih.gov/pubmed/21410127Abstract
An intracapsular femoral neck fracture in a young patient is a rare and difficult injury to manage. The occurrence of complications following fixation is multifactorial. Initial displacement and timing and accuracy of reduction are the key factors affecting outcome. The severities of the trauma to the hip and the impact of the intracapsular hematoma also play a role, the importance of which remains poorly understood. The purpose of this study was to evaluate the high incidence of femoral neck fractures treated in our institution over a 7-month period, to record the long-term outcome of these patients, all of whom were treated with contemporary methods of internal fixation, and to highlight the reasons for this injury being termed an "orthopedic emergency" and its differences from the same injury in the elderly population. We performed a retrospective analysis of 12 cases of intracapsular femur neck fracture in patients younger than 50 years treated over 7 months in a regional trauma center. All patients underwent satisfactory reduction and fixation. Nine of the 12 patients had a good outcome at a mean follow-up of 29 months. One patient developed a nonunion of the femoral head requiring total hip arthroplasty, one developed avascular necrosis of the femoral head, and one developed partial avascular necrosis. This compares favorably with other studies.Item Type
ArticleLanguage
enISSN
1938-2367ae974a485f413a2113503eed53cd6c53
10.3928/01477447-20110124-09