Long-term outcome of patients with avascular necrosis, after internal fixation of femoral neck fractures

Injury ◽  
2003 ◽  
Vol 34 (7) ◽  
pp. 525-528 ◽  
Author(s):  
K.E Nikolopoulos ◽  
S.A Papadakis ◽  
K.T Kateros ◽  
G.S Themistocleous ◽  
J.A Vlamis ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Internal Fixation ◽  
Avascular Necrosis ◽  
Femoral Neck Fractures ◽  
Term Outcome ◽  
Long Term Outcome

Displaced femoral neck fractures in patients 60 years of age or younger: results of internal fixation with the dynamic locking blade plate

2018 ◽  
Vol 100-B (4) ◽  
pp. 443-449 ◽  
Author(s):  
J. H. Kalsbeek ◽  
A. D. P. van Walsum ◽  
J. P. A. M. Vroemen ◽  
H. M. J. Janzing ◽  
J. T. Winkelhorst ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Internal Fixation ◽  
Fracture Healing ◽  
Avascular Necrosis ◽  
Young Patients ◽  
Case Series ◽  
Neuromuscular Disorder ◽  
Femoral Neck Fractures ◽  
Blade Plate ◽  
Displaced Femoral Neck Fractures

AimsThe objective of this study was to investigate bone healing after internal fixation of displaced femoral neck fractures (FNFs) with the Dynamic Locking Blade Plate (DLBP) in a young patient population treated by various orthopaedic (trauma) surgeons.Patients and MethodsWe present a multicentre prospective case series with a follow-up of one year. All patients aged ≤ 60 years with a displaced FNF treated with the DLBP between 1st August 2010 and December 2014 were included. Patients with pathological fractures, concomitant fractures of the lower limb, symptomatic arthritis, local infection or inflammation, inadequate local tissue coverage, or any mental or neuromuscular disorder were excluded. Primary outcome measure was failure in fracture healing due to nonunion, avascular necrosis, or implant failure requiring revision surgery.ResultsIn total, 106 consecutive patients (mean age 52 years, range 23 to 60; 46% (49/106) female) were included. The failure rate was 14 of 106 patients (13.2%, 95% confidence interval (CI) 7.1 to 19.9). Avascular necrosis occurred in 11 patients (10.4%), nonunion in six (5.6%), and loss of fixation in two (1.9%).ConclusionThe rate of fracture healing after DLBP fixation of displaced femoral neck fracture in young patients is promising and warrants further investigation by a randomized trial to compare the performance against other contemporary methods of fixation. Cite this article: Bone Joint J 2018;100-B:443–9.

Treatment Outcome of Major Fractures of the Talus

1995 ◽  
Vol 16 (6) ◽  
pp. 339-345 ◽  
Author(s):  
Philip A. Frawley ◽  
John A. L. Hart ◽  
David A. Young
Keyword(s):  
Avascular Necrosis ◽  
Treatment Plan ◽  
Activity Level ◽  
University Teaching ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Fusion Procedure ◽  
Appropriate Treatment ◽  
Low Incidence

Twenty-six patients with major fractures of the talus were studied to assess the long-term outcome. The patients were admitted to a university teaching hospital and major trauma center from 1983 to 1991. The study excluded isolated fractures of the talar dome and posterior tubercle. Fifteen patients were treated using internal fixation and 11 patients were treated using nonsurgical methods. Avascular necrosis was detected in only four of the 26 patients. Subtalar osteoarthritis was a significant problem in 61%. Seven of these patients have come to secondary fusion procedures, with another three contem-plating fusion procedures at the time of review. Only one patient developed significant avascular necrosis requiring a fusion procedure. Only three of 26 patients had not returned to work at a mean 6 years after their injury. Eleven of the 26 (42%) had not returned to their premorbid activity level. The majority of these patients (25/26) had sustained multiple injuries, which compromised the functional recovery from the talar injury. Early accurate diagnosis and anatomical reduction gave the best results. The low incidence of avascular necrosis in this study has been attributed to early anatomical stabilization of the fracture. We believe an early CT scan can more accurately assess the severity of the talar fracture and offers the best information for an appropriate treatment plan.

scholarly journals Ipsilateral fractures of the femoral neck, shaft and distal end: long-term outcome of five cases

2010 ◽  
Vol 35 (7) ◽  
pp. 1083-1088 ◽  
Author(s):  
Pavel Douša ◽  
Jan Bartoníček ◽  
Libor Luňáček ◽  
Tomáš Pavelka ◽  
Eva Kušíková
Keyword(s):  
Femoral Neck ◽  
Term Outcome ◽  
Long Term Outcome

Repeat Russe Bone Grafting after Failed Bone Graft Surgery for Scaphoid Non-Union

1995 ◽  
Vol 20 (3) ◽  
pp. 373-378 ◽  
Author(s):  
E. B. BYNUM ◽  
R. W. CULP ◽  
T. J. BONATUS ◽  
C. E. ALEXANDER ◽  
H. R. McCARROLL
Keyword(s):  
Internal Fixation ◽  
Bone Grafting ◽  
Surgical Procedure ◽  
Full Employment ◽  
Salvage Procedure ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Non Union ◽  
Low Rate

We report the long-term outcome of repeat Russe bone grafting after failure of a previous Russe graft for scaphoid non-union. 15 patients were followed for a mean of 71 months after their last surgical procedure. 11 patients had undergone a single previous Russe graft and four patients had two previous graft attempts. Internal fixation was used in only three patients. Eight out of 15 (53%) patients achieved union after a single repeat graft and one out of four united after a third attempt. When union was achieved, range of motion was unchanged, grip strength was increased 10%, and pain was slight to none, allowing return to full employment in seven out of the nine patients. All patients who did not achieve union have either undergone a salvage procedure or are contemplating one. Based on the literature and our relatively low rate of union without internal fixation (53%), we recommend supplementary internal fixation if repeat Russe bone grafting is undertaken. When union is achieved, satisfactory results can be expected.

scholarly journals Long-term Outcome of Short-course High-dose Glucocorticoids for Severe Acute Respiratory Syndrome (SARS): A 17-Year Follow-up in SARS Survivors

2020 ◽  
Author(s):  
Chor-Wing Sing ◽  
Kathryn C B Tan ◽  
Ian C K Wong ◽  
Bernard M Y Cheung ◽  
Ching-Lung Cheung
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Avascular Necrosis ◽  
High Dose ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Safety Concerns ◽  
Short Course ◽  
Long Term Consequences

Abstract Use of high-dose glucocorticoids for COVID-19 (caused by SARS-CoV-2) is controversial because of safety concerns. We examined the long-term consequences of glucocorticoid use in severe acute respiratory syndrome (caused by SARS-CoV-1) survivors. Results showed that high-dose glucocorticoids greatly increased the long-term risk of avascular necrosis but not other major diseases.

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