Treatment of undisplaced femoral neck fractures in the elderly

被引：76

作者：

Chen, WC ^{[1
]}

Yu, SW ^{[1
]}

Tseng, IC ^{[1
]}

Su, JY ^{[1
]}

Tul, YK ^{[1
]}

Chen, WJ ^{[1
]}

机构：

[1] Chang Gung Mem Hosp, Dept Orthoped Surg, Div Trauma Othoped, Linkuo, Taiwan

来源：

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE | 2005年 / 58卷 / 05期

关键词：

undisplaced femoral neck fracture; singh index; osteosynthesis; internal fixation; cannulated screw;

D O I：

10.1097/01.TA.0000169292.83048.17

中图分类号：

R4 [临床医学];

学科分类号：

1002 [临床医学]; 100602 [中西医结合临床];

摘要：

Background: While the treatment for displaced femoral neck fractures in the elderly (Garden types III and IV) is quite clear, the procedure for impacted or undisplaced femoral neck fractures (Garden types I and II) is still a subject of controversy. Methods: Thirty-seven (all > 80 years old) patients with undisplaced femoral neck fractures were treated with osteosynthesis by cannulated screws fixation. The clinical outcomes were followed up retrospectively for at least two years. Results: The overall union rate was 94.59% (35 patients) at 6 months after primary internal fixation. The overall success rate was 83.78% (31 patients), and the overall failure rate was 16.22% (6 patients). Conclusion: Osteosynthesis with cannulated screws fixation is a simple, safe, economical, and reasonably effective procedure for the treatment of undisplaced femoral neck fractures in patients older than 80 years.

引用

页码：1035 / 1039

页数：5

共 25 条

[1]

INTRACAPSULAR FRACTURES OF THE FEMORAL-NECK - RESULTS OF CANNULATED SCREW FIXATION [J].

ASNIS, SE ;

WANEKSGAGLIONE, L .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1994, 76A (12) :1793-1803

[2]

SUBCAPITAL FRACTURES OF FEMUR [J].

BARNES, R ;

BROWN, JT ;

GARDEN, RS ;

NICOLL, EA .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1976, 58 (01) :2-24

[3]

Bosch U, 2001, CHIRURG, V72, P1292, DOI 10.1007/s001040170034

[4]

Bray TJ, 1997, CLIN ORTHOP RELAT R, P20

[5]

Percutaneous pinning in undisplaced subcapital femoral neck fractures [J].

Chiu, FY ;

Lo, WH ;

Yu, CT ;

Chen, TH ;

Chen, CM ;

Huang, CK .

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 1996, 27 (01) :53-55

[6]

Undisplaced femoral neck fracture in the elderly [J].

Chiu, FY ;

Lo, WH .

ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 1996, 115 (02) :90-93

[7]

HEDLUND R, 1987, CLIN ORTHOP RELAT R, P132

[8]

INTERNAL-FIXATION OR HEMIARTHROPLASTY FOR UNDISPLACED FRACTURES OF THE FEMORAL-NECK IN OCTOGENARIANS [J].

HUI, ACW ;

ANDERSON, GH ;

CHOUDHRY, R ;

BOYLE, J ;

GREGG, PJ .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1994, 76B (06) :891-894

[9]

JOHANSSON A, 1979, ACTA ORTHOP SCAND, V57, P161

[10]

Internal fixation versus total hip arthroplasty in the treatment of displaced femoral neck fractures -: A prospective randomized study of 100 hips [J].

Johansson, T ;

Jacobsson, SA ;

Ivarsson, I ;

Knutsson, A ;

Wahlström, O .

ACTA ORTHOPAEDICA SCANDINAVICA, 2000, 71 (06) :597-602

← 1 2 3 →