Experience in Treatment of Femoral Neck Fractures by means of the Cannulated Screws

10.12737/9075 ◽  
2015 ◽  
Vol 22 (1) ◽  
pp. 46-50
Author(s):  
Шпаковский ◽  
M. Shpakovskiy ◽  
Калашников ◽  
V. Kalashnikov ◽  
Грибанов ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Minimally Invasive ◽  
Functional Outcome ◽  
Functional Results ◽  
Femoral Neck Fractures ◽  
Cannulated Screw ◽  
Long Term Results ◽  
Cannulated Screws ◽  
Minimally Invasive Osteosynthesis

The purpose of this research was to study long-term results of osteosynthesis of femoral neck treatment by means of the cannulated screw and to assess the degree of shortening of the femoral neck and its effect on functional outcome. Materials and methods. Minimally invasive osteosynthesis by means of the cannulated screws was carried out in 119 patients with fractures of the femoral neck. The long-term results in 112 (94.1%) patients after osteosynthesis in terms of 1 to 3 years after surgery were analyzed. Results and discussion. Fusion of fracture was noted in 89 (79,4%) cases, non-fusion – in 23 (20,6%) cases. It was es-tablished the dependence of the remote functional outcome from the degree of shortening of the femoral neck. In the presence of shortening of the femoral neck of more than 4 mm of excellent and good results were decreased considera-bly. The dependence of the distant functional results age of the patients was identified. The average age of patients with poor outcome was 77,3 years, with satisfactory – 67,7 years, with a good – 64,1 years, with excellent – 55,9 years. The dependence of the remote functional outcome from the type of fracture according to Pauwels and Garden was determined. Positive results were obtained in fractures type Pauwels I-II, Garden I-II, i.e. at the support fractures and the fractures with little displacement of bone fragments. Conclusions. Minimally invasive osteosynthesis by means of the cannulated screw allows to achieve coalescence fracture in 79,4% of cases, so it may be one of the methods of choice for femoral neck fractures, but can also lead to shortening of the femoral neck.

scholarly journals Closed Reduction And Cannulated Screw Fixation For Pediatric Femoral Neck Fractures: A Case Series

2021 ◽  
Author(s):  
Hakan Cici ◽  
Sabahaddin Kiliç
Keyword(s):  
Femoral Neck ◽  
Closed Reduction ◽  
Screw Fixation ◽  
Case Series ◽  
Femoral Neck Fractures ◽  
Cannulated Screw ◽  
Fixation Method ◽  
Coxa Vara

Objective: Pediatric femoral neck fractures are uncommon injuries. Accurate early reduction and fixation is recommended to avoid serious long-term complications. The aim of this study was to analyze the clinical and radiological outcomes of 12 children with femoral neck fractures who were treated with closed reduction and cannulated screw fixation. Method: Between November 2015 and December 2019, 12 children (4 males,8 females) with an average age of 9.7 were operated by closed reduction and cannulated screw fixation for femoral neck fractures. We evaluated the medical records of all patients, including age, gender, injury mechanism, fracture type, initial displacement, postoperative reduction, follow-up roentgenograms and Ratliff’s scores. Results: The mean follow-up was 22.3 months (range 12–47 months). Six Delbett type 2, five Delbett type 3 and one Delbett type 4 fractures were operated with an avarage time to surgery of 12.5 (range: 1-75 hours). Satisfactory outcomes according to Ratliff’s criteria were obtained in 10 (%83.3) children. Coxa vara occurred in 2 cases. Any avascular necrosis was not seen during the follow-up period. Conclusion: Early closed reduction and cannulated screw fixation may be effective to avoid long-term complications in pediatric femoral neck fractures. Keywords: Femoral neck fracture, Pediatric, Closed reduction

Medium to Long Term Results of the Exeter Bipolar Hemiarthroplasty for Femoral Neck Fractures in Active, Independent Patients. 5–13 year follow-up

2008 ◽  
Vol 18 (4) ◽  
pp. 301-306 ◽  
Author(s):  
D. Miller ◽  
A. Choksey ◽  
P. Jones ◽  
R. Perkins
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fractures ◽  
Long Term Results ◽  
Bipolar Hemiarthroplasty ◽  
Radiographic Outcome ◽  
Median Length ◽  
Time Of Operation ◽  
Acetabular Erosion

We present the clinical and radiographic outcome of 49 Exeter bipolar hemiarthroplasties for femoral neck fractures in 49 patients with a median age of 71 years at the time of operation. Median length of follow-up was 7.1 years (5 to 13). There was one dislocation, and one peri-prosthetic fracture. There were no revisions for infection, acetabular erosion or stem loosening. Twenty-six patients had died by the time of final follow-up with an overall 5 year cumulative survival of 60.2%. Thirty day mortality was 36% in patients with an ASA score of 3. We present excellent clinical and radiological medium to long term results with no evidence of acetabular erosion. However, careful patient selection is necessary to avoid high early mortality rates.

Long-Term Results After Operative Treatment of Femoral Neck Fractures With Ceramic Head Prostheses

Orthopedics ◽  
2001 ◽  
Vol 24 (2) ◽  
pp. 129-133
Author(s):  
J Degreif ◽  
L P Müller ◽  
M Runkel ◽  
J Blum ◽  
G Willmann
Keyword(s):  
Femoral Neck ◽  
Operative Treatment ◽  
Femoral Neck Fractures ◽  
Long Term Results ◽  
Ceramic Head

The Long-Term Results of Lubinus Interplanta Hemiarthroplasty in 228 Acute Femoral Neck Fractures. A Retrospective Six-Year Follow-Up

2002 ◽  
Vol 91 (4) ◽  
pp. 357-360 ◽  
Author(s):  
K. Isotalo ◽  
J. Rantanen ◽  
V. Äärimaa ◽  
E. Gullichsen
Keyword(s):  
Survival Analysis ◽  
Hip Fracture ◽  
Femoral Neck ◽  
Femoral Neck Fractures ◽  
Long Term Results ◽  
Dislocation Rate ◽  
Kaplan Meier ◽  
The Mean

Background and Aims: We retrospectively studied survival of patients treated with Lubinus interplanta (IP) semiendoprosthesis in acute hip fracture. Materials and Methods: The long-term results of Lubinus interplanta (IP) hemiarthroplasty in 228 acute medial fractures of the femoral neck in 222 patients were reviewed. Results and Conclusions: The mean age of the patients was 80.3 years. The mean duration of post-operative follow-up was 6.3 years (range 5–8 years). There were 12 reoperations (5.3 %), of which 8 were revisions (3.5 %). Dislocation rate was 3.5 %. Survival was 93 % at three years and 88 % at six years (Kaplan-Meier-survival analysis). Conclusions: These results surpass those previously published after Thompson and Moore hemiarthroplasties. The Lubinus prosthesis has a greater CCD (caput, collum, diaphyse) angle and a longer stem compared to Thompson and Moore implants. The need for resection of calcar cortex is also limited. These biomechanical facts may explain the good long-term results of Lubinus hemiarthroplasty.

scholarly journals Long-term results and physiotherapeutic determination in operative treatment of intra-articular calcaneal fractures

2016 ◽  
Vol 20 (1) ◽  
pp. 5-11
Author(s):  
Piotr Golec ◽  
Krzysztof Tomaszewski ◽  
Sebastian Nowak ◽  
Zbigniew Dudkiewicz
Keyword(s):  
Minimally Invasive ◽  
Functional Outcome ◽  
Functional Outcomes ◽  
Long Term Results ◽  
Calcaneal Fractures ◽  
Intraarticular Fractures ◽  
Type Fracture ◽  
Additional Stabilization ◽  
Invasive Techniques

The authors present their own observations of the surgical treatment of articular calcaneal fractures using a minimally invasive percutaneous fixation in combination with the unifi ed self-developed physiotherapy program. The analyzed techniques include the Westhues’ technique and its modifi cation with additional stabilization of the bone fragments with Kirschner wires, as well as transdermal stabilization by Rąpała. The research material comprises 82 patients with intraarticular fractures - 68 men (83%) and 14 women (17%) treated surgically between 1990 and 2012. The analyzed calcaneus fractures were divided by Essex–Lopresti scale and evaluation of functional outcome at follow-up was based on the Creighton–Nebraska criteria. Men with the “tongue type” fracture treated using the Westhues’ technique had good functional outcomes in 12 cases (17.6%) and acceptable in 7 cases (10.3%). Women with the “tongue type” fracture treated using the Westhues’ technique had good functional outcomes in 2 cases (14.3%) and in one case, poor (7.1%). After analysis of the material, the authors claim that minimally invasive techniques are not really minimally invasive, taking the observed complications into consideration in most of the patients, which lead to the poor functional outcome at long term follow-ups.

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