EARLY FUNCTIONAL RESULTS OF BIPOLAR PROSTHESIS IN FEMORAL NECK FRACTURES

2020 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Bilal sawan ◽  
Khaled Abdelrahman ◽  
elasayed soudy ◽  
Mohammed Sebaei
Keyword(s):  
Femoral Neck ◽  
Functional Results ◽  
Femoral Neck Fractures ◽  
Bipolar Prosthesis

Results of quadratus femoris muscle pedicle bone grafting (Meyers’ procedure) in the management of ununited femoral neck fractures

2020 ◽  
pp. 112070002091885
Author(s):  
Harun Yasin Tüzün ◽  
Selim Türkkan ◽  
Ömer Erşen ◽  
Arsen Arsenishvili ◽  
Mustafa Kürklü
Keyword(s):  
Femoral Neck ◽  
Young Patients ◽  
Functional Results ◽  
Femoral Neck Fractures ◽  
Posterior Cortex ◽  
Complication Risk ◽  
Length Width ◽  
Femoris Muscle ◽  
Quadratus Femoris

Purpose: Femoral neck fractures in young patients are associated with increase complication risk. The objective of this study was to evaluate the results of quadratus femoris muscle pedicle grafting in the treatment of ununited femoral neck fractures. Methods: This study includes 16 patients with ununited femoral neck fractures treated with quadratus femoris muscle pedicle graft. 7 patients had neglected femoral neck fractures while 9 had ununited femoral neck fractures after fixation. Quadratus femoris muscle with 2 × 1 × 1 cm (length-width-height) bone in its insertion was elevated and placed in the posterior cortex of the femoral neck with additional cancellous graft from the posterior iliac bone. The graft was fixed with 3.5-mm cortical screws. Results: The average follow-up period was 96 weeks and the radiological union occurred at an average of 7 months. The femoral inclination of all patients was 128.5° ± 3.9° with an average 7 (range 0–35) mm thigh atrophy in the last follow-up visit. Only 1 patient (6%) had avascular necrosis of the femoral head and was treated with hip arthroplasty. Conclusions: Quadratus femoris muscle pedicle grafting provides better stability and blood supply in ununited femoral neck fractures. Achieving fracture union provides better clinical and functional results in the treatment of femoral neck fractures.

Experience With Bipolar Prosthesis in Femoral Neck Fractures in the Elderly and Debilitated

1990 ◽  
Vol &NA; (251) ◽  
pp. 26???30 ◽  
Author(s):  
PAOLO GALLINARO ◽  
GIUSEPPE TABASSO ◽  
REN?? NEGRETTO ◽  
ELENA M. BRACH DEL PREVER
Keyword(s):  
Femoral Neck ◽  
The Elderly ◽  
Femoral Neck Fractures ◽  
Bipolar Prosthesis

Cemented Versus Cementless Modular Head Partial Prostheses in Femoral Neck Fractures of Elderly Patients: Comparison of Early Functional Results

2012 ◽  
Vol 2 (1) ◽  
pp. 1-5
Author(s):  
Devrim Ozer ◽  
Osman Cimen ◽  
Umit Selcuk Aykut ◽  
Hasan Dogruloglu ◽  
Mehmet Bulent Balioglu ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Elderly Patients ◽  
Functional Results ◽  
Femoral Neck Fractures

scholarly journals Surgical management of intracapsular fracture neck femur by hemiarthroplasty between uncemented bipolar prosthesis and Austin Moore’s prosthesis: a comparative study in elderly population

2019 ◽  
Vol 5 (4) ◽  
pp. 612
Author(s):  
H. D. Veeranna ◽  
K. B. Ravi ◽  
K. Anudeep Kumar
Keyword(s):  
Femoral Neck ◽  
Elderly Population ◽  
Early Mobilization ◽  
Femoral Neck Fractures ◽  
Harris Hip Score ◽  
Bipolar Hemiarthroplasty ◽  
Neck Of Femur ◽  
Bipolar Prosthesis ◽  
Fracture Neck Femur ◽  
Displaced Femoral Neck Fractures

<p class="abstract"><strong>Background:</strong> Intracapsular femoral neck fractures are common in elderly population after a simple fall. To avoid the drawbacks of internal fixation and for the early mobilization, hemiarthroplasty is performed in elderly. The aim of this study is to compare the outcome AMP with uncemented bipolar prosthesis in geriatric patients.</p><p class="abstract"><strong>Methods:</strong> 51 patients above 60 years and an acute displaced fracture of the femoral neck were randomly allocated to treatment by either AMP (Austin Moore prosthesis) or bipolar hemiarthroplasty, in the Department of Orthopaedics, Sri Siddhartha medical college, Tumkur between April 2014 and May 2017. The patients were summoned at 6 weeks, 12 weeks, 6 months and 1 year. Functional outcome was assessed and compared with modified Harris hip score and radiological parameters.<strong></strong></p><p class="abstract"><strong>Results:</strong> The mean Harris hip score in bipolar and AMP group was 86.31±12.1 and 79.86±15.42, respectively (p=0.182). The range of motion was 204.52±28.2 and 183.62±36 (p=0.014) respectively. Functional activities like use of public transport and ability to wear shoe or socks was better with bipolar group. Incidence of complications like painful hip, posterior dislocation, periprosthetic fracture and acetabular erosion was encountered in AMP group.</p><p class="abstract"><strong>Conclusions:</strong> The use of uncemented bipolar endoprosthesis in the management of displaced femoral neck fractures in the elderly was associated with better mean Harris hip score and incidence of complications was limited. Hence, bipolar would be a better option in elderly patients with fracture neck of femur.</p><p class="abstract"> </p>

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 Extracapsular Femoral Neck Fractures in the Elderly Mortality and Functional Results.

1992 ◽  
Vol 40 (3) ◽  
pp. 1143-1147
Author(s):  
Shinji Fukuoka ◽  
Akira Okue ◽  
Tomoki Ishizaki ◽  
Koshi Matsumura ◽  
Ken Kusaba ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Functional Results ◽  
The Elderly ◽  
Femoral Neck Fractures

The Charnley–Hastings bipolar prosthesis in femoral neck fractures —

Injury ◽  
2000 ◽  
Vol 31 (4) ◽  
pp. 257-263 ◽  
Author(s):  
W.J Gaine ◽  
P.R Sanville ◽  
D.J Bamford
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fractures ◽  
Bipolar Prosthesis

HIP FRACTURES IN 5 YEARS AT HUE UNIVERSITY HOSPITAL

2014 ◽  
pp. 47-50
Author(s):  
Duy Binh Ho ◽  
Nghi Thanh Nhan Le ◽  
Maasalu Katre ◽  
Koks Sulev ◽  
Märtson Aare
Keyword(s):  
Hip Fracture ◽  
Femoral Neck ◽  
Hip Fractures ◽  
Age Groups ◽  
Femoral Fractures ◽  
Femoral Neck Fractures ◽  
University Hospital ◽  
High Risk Population ◽  
Intertrochanteric Fractures ◽  
Significant Difference

Aim: This study aimed to review the clinical findings and surgical intervention of the hip fracture at the Hue University Hospital in Vietnam. Methods:The data of proximal femoral fractures was collected retrospectively. All patients, in a period of 5 years, from Jan 2008 to December 2012, suffered either from intertrochanteric or femoral neck fractures. The numbers of patients were gathered separately for each year, by age groups (under 40, 40-49, 50-59, 60-69, 70-79, older) and by sex. We analyzed what kind of treatment options were used for the hip fracture. Results:Of 224 patients (93 men and 131 women) studied, 71% patients are over 70 years old, 103 women and 56 men (p<0.05). For patients under 40 years, there were 1 woman and 11 men (p<0.05). There were 88 intertrochanteric and 136 femoral neck fractures. There was no significant difference in the two fractures between men and women. The numbers of hip fracture increased by each year, 29/224 cases in 2010, 63/224 cases in 2011, 76/224 cases in 2012. Treatment of 88 intertrochanteric fractures: 49 cases (55.7%) of dynamic hip screw (DHS), 14 cases of hemiarthroplasty (15.9%), 2 cases of total hip replacement (2.3%). Treatment of 136 femoral neck fractures: 48 cases of total replacement (35.3%), 43 cases of hemiarthroplasty (31.6%), 15 cases of screwing (11%). In cases of 40 patients (17.9%) hip fracture was managed conservatively, 23 were femoral neck fractures and 17 were intertrochanteric fractures. Conclusions: Hip fracture is growing challenge in Hue medical university hospital. The conservative approach is still high in people who could not be operable due to severe medical conditions as well as for patients with economic difficulties. Over 70% of the hip fractures in people 70+ are caused by osteoporosis. The number of hip fracture is increasing in the following years, most likely due to the increase in the prevalence of osteoporosis. Early detection and prevention of osteoporosis should be addressed, particularly in high risk population. More aggressive surgical approach should be implemented in order to improve the quality of life in patients with hip fractures. Key words:Hip fracture.

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