Surgical treatment of basicervical fractures of femur - A prospective evaluation of 269 patients

Background. We elucidate the effect of surgical treatment of acute basicervical fractures of femur by closed reduction and internal fixation with dynamic hip screw (DHS). Methods. From 1992 to 2004, 269 patients who had acute unilaterally basicervical fractures of femur were collected and evaluated prospectively. All the fractures were managed with closed reduction and internal fixation with DHS. The follow-up period was 74.7 months on average (range: 24-150 months). Finally, 241 patients were available for evaluation of union condition and 200 patients were available for evaluation of functional results and late complication. Results. Five patients (1.66%) of nonunion and two patients (0.83%) of screw cutout were met. The other 235 patients had uneventfully union with the average union time of 16.5 weeks (range: 14-24 weeks). No avascular necrosis of femoral head was noted. Conclusion. Surgical treatment of acute basicervical fractures of femur by closed reduction and internal fixation with DHS was shown to be very effective.