scholarly journals Total Hip Arthroplasty for Femoral Neck Fracture after Postoperative Intertrochanteric Fracture in a Patient with Spontaneous Fused Hip

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Saori Niitsu ◽  
Shohei Okahisa ◽  
Yuki Fujihara ◽  
Yu Takeda ◽  
Shigeo Fukunishi
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Intertrochanteric Fracture ◽  
Harris Hip Score ◽  
Neck Fracture ◽  
Femoral Intertrochanteric Fracture ◽  
One Year ◽  
The One ◽  
End Stage ◽  
Modified Harris Hip Score

A 64-year-old woman with a spontaneous fused hip sustained a left femoral neck fracture. It was revealed that her left hip joint had a long-standing spontaneous hip fusion due to end-stage osteoarthritis. Additionally, she sustained an ipsilateral femoral intertrochanteric fracture and underwent osteosynthesis using a dynamic hip screw 8 years ago. The one-stage THA was successfully treated with no major complications and good functional recovery was obtained. The hip range of motion improved remarkably at one year after surgery. The Modified Harris Hip Score improved from an estimated 70 points before fracture to 95 points at final follow-up.

scholarly journals Psychometric Assessment of Modified Harris Hip Score for Femoral Neck Fracture in Indian Population

2020 ◽  
Vol 54 (S1) ◽  
pp. 87-100
Author(s):  
Karthik Vishwanathan ◽  
Shahrukh Khan Ataullah Pathan ◽  
Ravi Chandulal Makadia ◽  
Chintan Bahecharbhai Chaudhary
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Indian Population ◽  
Harris Hip Score ◽  
Psychometric Assessment ◽  
Neck Fracture ◽  
Modified Harris Hip Score

APPRAISAL OF CLINICAL OUTCOME OF BIPLANE DOUBLE SUPPORTED SCREW FIXATIONS (BDSF) FOR FEMORAL NECK FRACTURES

2021 ◽  
pp. 1-4
Author(s):  
Gaurav Menwal ◽  
Abhay S. Dube ◽  
Brijesh Pal ◽  
Kamal Swarn ◽  
Azad Khan
Keyword(s):  
Clinical Outcome ◽  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Surgical Stress ◽  
Harris Hip Score ◽  
Neck Of Femur ◽  
Neck Fracture ◽  
Primary Hip Arthroplasty ◽  
Management Modality ◽  
One Year

Background: Over the years, primary hip arthroplasty has become a popular choice of management modality for intracapsular fracture neck of femur in geriatric hip. Although the complication of nonunion and avascular necrosis (AVN) is nullied by arthroplasty, the probability of re-operation and high surgical stress is substantially high as compare to osteosynthesis. The aim of this study was to determine the clinical outcome of biplane double supported screw xation (BDSF) for femoral neck fracture. Material And Methods: A total of 37 patients (15 males, 22 females) with a mean age of 75.97 years underwent BDSF for femoral neck fracture and were followed up for a period of 10-12 months. They were assessed on the basis of improvement in Harris Hip Score (HHS) and Garden Index. Results: After BDSF the union was achieved in 89.18% (33) patients.The mean HHS was 91.027 points and a garden index of 161-170 was achieved in 56.76% (21) patients at one year of follow up. The majority of patients had good to excellent functional outcomes. The average time of clinico-radiological union was 9.3 weeks. BDSF method used in femoral neck fracture Conclusion: xation has given very good results in this study. Though anatomical reduction is crucial, BDSF method ensures reliable xation, early rehabilitation and good functional outcome especially in elderly

scholarly journals Calcar buttressed screw fixation for femoral neck fracture

2018 ◽  
Vol 5 (1) ◽  
pp. 145
Author(s):  
K. K. Arvind Manoj ◽  
R. Karthik ◽  
A. Vishnu Sankar
Keyword(s):  
Femoral Neck ◽  
Functional Outcome ◽  
Femoral Neck Fracture ◽  
Screw Fixation ◽  
Femoral Neck Fractures ◽  
Fixation Strength ◽  
Harris Hip Score ◽  
Average Period ◽  
Excellent Outcome ◽  
Neck Fracture

<p class="abstract"><strong>Background:</strong> The incidence of neck of femur fracture among elderly population is increasing day by day. Femoral neck fracture has always been an unsolved fracture<strong> </strong>as far as treatment and results are concerned. There are different views regarding the optimal method of internal fixation in femoral neck fractures. Biomechanical data from literature suggest that calcar fixation is superior to central screws placement. This study aims to analyse the functional and radiological outcome of femoral neck fractures treated by calcar buttressed screw fixation described by Filipov as biplane double supported screw fixation.</p><p class="abstract"><strong>Methods:</strong> This is a prospective study conducted in our institution from May 2015 to May 2018.The study included 43 patients (31 male, 12 female) with femoral neck fracture. Three 6.5-mm cannulated screws were laid in two medially diverging oblique planes. The distal and the middle screws were supported on the calcar. The distal screw had additional support on the posterior neck cortex. Patients were followed up for average period of 2 years. Functional outcome was evaluated using Harris Hip score.<strong></strong></p><p class="abstract"><strong>Results:</strong> Bone union occurred in 40 patients (93%) with average period of 3-4 months.<strong> </strong>51.2% of cases had<strong> </strong>excellent outcome. 23.2% of cases had good and 16.3% of cases had fair outcome. 9.3% of cases ended with poor outcome. Non union was reported in 3 patients (7%) and AVN in one patient. Various factors like age, Garden and Pauwel fracture types, time of presentation and time of surgery were statistically significant to the final functional outcome in our study.</p><p><strong>Conclusions:</strong> By providing additional calcar buttress compared to conventional method, this technique of screw fixation enhances femoral neck fracture fixation strength and reduces the fixation failure. </p>

Femoral neck fracture following intertrochanteric fracture

1996 ◽  
Vol 11 (7) ◽  
pp. 873-879 ◽  
Author(s):  
Bruce E. Heck ◽  
Nabil A. Ebraheim ◽  
Robert J. Bielski ◽  
W.T. Jackson
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Intertrochanteric Fracture ◽  
Neck Fracture

Comparative Analysis of Preoperative and Postoperative Muscle Around Hip Joint by Computed Tomography Between Intertrochanteric Fracture and Femur Neck Fracture

2020 ◽  
Author(s):  
Sung Yoon Jung ◽  
Hyeon Jun Kim ◽  
Kyu Taek Oh
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Intertrochanteric Fracture ◽  
Femoral Neck Fractures ◽  
Final Visit ◽  
Cross Sectional ◽  
Fracture Group ◽  
Significant Difference ◽  
Neck Fracture

Abstract Background:This study assessed the changes in hip muscles by comparing the preoperative and postoperative CT scan results between patients with intertrochanteric versus femoral neck fractures. Methods:48 patients who received surgical treatment for intertrochanteric or femoral neck fractures from February 2013 to February 2019 and underwent pelvic computed tomography(CT) preoperative and postoperatively aged 65 and older with a minimum follow-up of 1 year were included. The subjects were divided into two groups: 26 patients with intertrochanteric fracture and 22 patients with femoral neck fracture. We measured the cross-sectional area(CSA) and attenuation of the gluteus medius(G.med), gluteus minimus(G.min), iliopsoas(IP), and rectus femoris(RF) on the contralateral side. Patient basic data were collected from medial records including sex, age, height, weight, BMI, BMD, Harris hip score (HHS), and length of follow-up until the final visit. Results: There was no significant difference in sex, age, height, weight, BMI, BMD, HHS, and length of follow-up until the final visit between two groups. The femoral neck fracture group had significantly larger CSA and cross-sectional area per weight(CSA/Wt) of the G.med and G.min(G.med CSA, CSA/wt preoperative 1995.29 vs 1713.64, 38.87 vs 32.74; postoperative 2144.98 vs 1815.56, 37.48 vs 32.78/G.min preoperative 745.22 vs 566.59, 14.32 vs 10.96; postoperative 764.39 vs 619.17, 14.78 vs 11.25). On the contrary, the intertrochanteric fracture group had significantly greater CSA and CSA/Wt of the IP and RF(IP preoperative 810.86 vs 661.88, 17.73 vs 9.42; postoperative 681.98 vs 571.32, 12.68 vs 9.88/RF preoperative 503.66 vs 386.72, 9.42 vs 7.23; postoperative 426.24 vs 349.31, 7.17 vs 5.23). HHS related with function had no significant correlation with postoperative CSA and CSA/Wt. There was no significant difference in attenuation between two groups. All subjects had a significant decrease of muscle attenuation postoperatively.Conclusions: The CSA of the hip abductor(G.med and G.min) was significantly larger in the femoral neck fracture group, while the CSA of the hip flexor(IP and RF) was significantly higher in the intertrochanteric fracture group. Based on these findings, choosing the rehabilitation program suitable for the fracture site is expected to be beneficial in hip fracture rehabilitation.

A randomized controlled trial of cemented versus cementless arthroplasty in patients with a displaced femoral neck fracture

2018 ◽  
Vol 100-B (8) ◽  
pp. 1087-1093 ◽  
Author(s):  
B. Barenius ◽  
C. Inngul ◽  
Z. Alagic ◽  
A. Enocson
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Controlled Trial ◽  
Femoral Stem ◽  
Harris Hip Score ◽  
Controlled Study ◽  
Randomized Controlled ◽  
Neck Fracture ◽  
Euroqol 5D ◽  
Displaced Fracture

Aims The aim of this study was to compare the functional and radiological outcomes in patients with a displaced fracture of the hip who were treated with a cemented or a cementless femoral stem. Patients and Methods A four-year follow-up of a randomized controlled study included 141 patients who underwent surgery for a displaced femoral neck fracture. Patients were randomized to receive either a cemented (n = 67) or a cementless (n = 74) stem at hemiarthroplasty (HA; n = 83) or total hip arthroplasty (THA; n = 58). Results Early differences in functional outcome, assessed using the Harris Hip Score, the Short Musculoskeletal Functional Assessment score and EuroQol-5D, with better results in cemented group, deteriorated over time and there were no statistically significant differences at 48 months. Two (3%) patients in the cemented group and five (6.8%) in the cementless group underwent further surgery for a periprosthetic fracture. This difference was statistically significant (p = 0.4). No patient underwent further surgery for instability or infection between one and four years postoperatively. The mortality and the radiological outcomes were similar in both groups. Conclusion Patients with a displaced femoral neck fracture treated with an arthroplasty using a cemented or cementless stem had good function and few complications up to four years postoperatively. However, due to the poor short-term functional outcomes in the cementless group, the findings do not support their routine use in the treatment of these elderly patients. Cite this article: Bone Joint J 2018;100-B:1087–93.

scholarly journals Fracture Cascade in Patients with End-Stage Renal Disease: Complications and Outcome

2018 ◽  
Vol 1 (1-3) ◽  
pp. 55-61
Author(s):  
Tarek M. Samy ◽  
Tarek M. Khalil ◽  
Maged Abouelsoud ◽  
Amr Abdelrahman ◽  
Mohamed B. Elghonimy
Keyword(s):  
Femoral Neck ◽  
Renal Disease ◽  
Femoral Neck Fracture ◽  
End Stage Renal Disease ◽  
Subtrochanteric Fracture ◽  
High Rate ◽  
Entry Site ◽  
Neck Fracture ◽  
Stage Renal Disease ◽  
End Stage

We report a 68-year-old end-stage renal disease female patient on dialysis for 15 years. She sustained consecutive fractures starting with left-sided femoral neck fracture, followed 16 months later by a right-sided one. On her recovery from her right hip injury she sustained a stress type subtrochanteric fracture at the entry site of the fixation implants and an ipsilateral humeral shaft fracture. Cementless total hip replacement was done for the left femoral neck, and osteosynthesis was done for her undisplaced right femoral neck fracture. Revision fixation was done for her right subtrochanteric fracture with a long Gamma nail that was statically locked. The humeral fracture was fixed with an interlocking nail in a closed manner. This case highlights the fact that sequential hip fractures is an ominous event which is likely to be followed by a quick cascade of bone injuries with trivial trauma and a high rate of unexpected complications. Our treatment approach is explained here, stressing the unexpected complications and challenges met.

scholarly journals Imaging observation of percutaneous compression plate use in promoting femoral neck fracture healing

2021 ◽  
Vol 49 (8) ◽  
pp. 030006052110335
Author(s):  
Yong Chen ◽  
Haifeng Li ◽  
Liansheng Dai ◽  
Qudong Yin ◽  
Dong Li ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Internal Fixation ◽  
Fracture Healing ◽  
Femoral Neck Fracture ◽  
Harris Hip Score ◽  
Secondary Outcome ◽  
Compression Plate ◽  
Neck Fracture ◽  
Percutaneous Compression Plate

Objective To examine the imaging evidence of the use of percutaneous compression plate (PCCP) in promoting femoral neck fracture healing compared with cannulated screws (CS). Methods This retrospective study enrolled patients with femoral neck fractures undergoing internal fixation procedures. The patients were divided into a PCCP group and a CS group with imaging as the primary outcome and Harris hip score (HHS) as the secondary outcome. Results This study included 162 patients: 80 in the PCCP group and 82  in the CS group. There were no significant differences between the patients in their preoperative baseline characteristics. Patient follow-up ranged from 24–56 months (mean 30.7 months). Differences in reduction quality, screw slipping, neck shortening and avascular necrosis (AVN) were not significant between the two groups. There were significant differences between the treatment groups in bone absorption, nonunion, healing time, screw withdrawal and fixation failure in favour of the PCCP group. Postoperative HHS at 6 and 12 months were significantly better for the PCCP group than the CS group, but the differences were not significant at 24 months and last follow-up. Conclusion Stable internal fixation with dynamic compression was the key to PCCP promoting femoral neck fracture healing.

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