Infective Failure of Internal Fixation for Intertrochanteric Femoral Neck Fracture Presenting as Hip Joint Subluxation: A Case Report

Aims Monocyte-lymphocyte ratio (MLR) or neutrophil-lymphocyte ratio (NLR) are useful for diagnosing periprosthetic joint infection (PJI), but their diagnostic values are unclear for screening fixation-related infection (FRI) in patients for whom conversion total hip arthroplasty (THA) is planned after failed internal fixation for femoral neck fracture. Methods We retrospectively included 340 patients who underwent conversion THA after internal fixation for femoral neck fracture from January 2008 to September 2020. Those patients constituted two groups: noninfected patients and patients diagnosed with FRI according to the 2013 International Consensus Meeting Criteria. Receiver operating characteristic (ROC) curves were used to determine maximum sensitivity and specificity of these two preoperative ratios. The diagnostic performance of the two ratios combined with preoperative CRP or ESR was also evaluated. Results The numbers of patients with and without FRI were 19 (5.6%) and 321 (94.4%), respectively. Areas under the ROC curve for diagnosing FRI were 0.763 for MLR, 0.686 for NLR, 0.905 for CRP, and 0.769 for ESR. Based on the Youden index, the optimal predictive cutoffs were 0.25 for MLR and 2.38 for NLR. Sensitivity and specificity were 78.9% and 71.0% for MLR, and 78.9% and 56.4% for NLR, respectively. The combination of CRP with MLR showed a sensitivity of 84.2% and specificity of 94.6%, while the corresponding values for the combination of CRP with NLR were 89.5% and 91.5%, respectively. Conclusion The presence of preoperative FRI among patients undergoing conversion THA after internal fixation for femoral neck fracture should be determined. The combination of preoperative CRP with NLR is sensitive tool for screening FRI in those patients.

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Bilateral Femoral Neck Fracture due to Electric Shock

The Journal of Medical Sciences ◽

10.5005/jp-journals-10045-0027 ◽

2016 ◽

Vol 2 (1) ◽

pp. 18-20

Author(s):

Rahul Peswani ◽

BL Chandrakar ◽

Rakesh Thakkar

Keyword(s):

Case Report ◽

Femoral Neck ◽

Femoral Neck Fracture ◽

Direct Current ◽

Electric Shock ◽

Bone Disease ◽

Late Presentation ◽

The Other ◽

Pathological Conditions ◽

Neck Fracture

ABSTRACT Simultaneous bilateral fractures of the femoral neck are rare injuries in patients without underlying pathological conditions. We report a case of a 50-year-old male, who sustained bilateral femoral neck injury resulting from electric shock with 440 V of direct current. Bilateral femoral neck fracture is rare. Bilateral femoral neck fracture due to electric shock is even rarer. This case report highlights bilateral femoral neck fracture without primary and secondary bone disease. Late presentation and unclassified pattern of fracture are the other features. How to cite this article Peswani R, Chandrakar BL, Thakkar R. Bilateral Femoral Neck Fracture due to Electric Shock. J Med Sci 2016;2(1):18-20.

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A Case Report of Femoral Neck Fracture in an Elderly Patient Managed by Non-operative Korean Medical Treatment : 42 Months Follow-up

Journal of Acupuncture Research ◽

10.13045/jar.2018.00290 ◽

2018 ◽

Vol 35 (4) ◽

pp. 252-258 ◽

Cited By ~ 1

Author(s):

Ju-ran Kim ◽

Han Mi Gong ◽

Seungah Jun ◽

Jung Hee Lee ◽

Bong Hyo Lee ◽

...

Keyword(s):

Elderly Patient ◽

Case Report ◽

Femoral Neck ◽

Medical Treatment ◽

Femoral Neck Fracture ◽

Neck Fracture

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Comparison of anemia, renal function, and nutritional status in older women with femoral neck fracture and older women with osteoarthritis of the hip joint

Journal of Orthopaedic Science ◽

10.1016/j.jos.2021.12.009 ◽

2022 ◽

Author(s):

Katsuhiko Maezawa ◽

Masahiko Nozawa ◽

Yuichiro Maruyama ◽

Emi Sakuragi ◽

Munehiko Sugimoto ◽

...

Keyword(s):

Renal Function ◽

Femoral Neck ◽

Nutritional Status ◽

Femoral Neck Fracture ◽

Older Women ◽

Hip Joint ◽

Osteoarthritis Of The Hip ◽

Neck Fracture

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Arthroplasty versus Internal Fixation for Displaced Intracapsular Femoral Neck Fracture in the Elderly

Chinese Medical Journal ◽

10.4103/0366-6999.192788 ◽

2016 ◽

Vol 129 (21) ◽

pp. 2630-2638 ◽

Cited By ~ 13

Author(s):

Chen-Yi Ye ◽

An Liu ◽

Ming-Yuan Xu ◽

Nwofor Samuel Nonso ◽

Rong-Xin He

Keyword(s):

Femoral Neck ◽

Internal Fixation ◽

Femoral Neck Fracture ◽

The Elderly ◽

Neck Fracture ◽

Intracapsular Femoral Neck Fracture

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Guidance for the Treatment of Femoral Neck Fracture with Precise Minimally Invasive Internal Fixation Based on the Orthopaedic Surgery Robot Positioning System

Orthopaedic Surgery ◽

10.1111/os.12451 ◽

2019 ◽

Vol 11 (3) ◽

pp. 335-340 ◽

Cited By ~ 8

Author(s):

Xin‐bao Wu ◽

Jun‐qiang Wang ◽

Xu Sun ◽

Wei Han

Keyword(s):

Femoral Neck ◽

Minimally Invasive ◽

Internal Fixation ◽

Femoral Neck Fracture ◽

Orthopaedic Surgery ◽

Positioning System ◽

Robot Positioning ◽

Neck Fracture ◽

Minimally Invasive Internal Fixation

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Outcomes of internal fixation versus hemiarthroplasty for elderly patients with an undisplaced femoral neck fracture: a systematic review and meta-analysis

Journal of Orthopaedic Surgery and Research ◽

10.1186/s13018-019-1377-5 ◽

2019 ◽

Vol 14 (1) ◽

Cited By ~ 1

Author(s):

Hsuan-Hsiao Ma ◽

Te-Feng Arthur Chou ◽

Shang-Wen Tsai ◽

Cheng-Fong Chen ◽

Po-Kuei Wu ◽

...

Keyword(s):

Mortality Rate ◽

Femoral Neck ◽

Elderly Patients ◽

Internal Fixation ◽

Femoral Neck Fracture ◽

Meta Analysis ◽

Length Of Hospital Stay ◽

Reoperation Rate ◽

Fixation Group ◽

Neck Fracture

Abstract Background Although internal fixation has been the main treatment option for elderly patients with an undisplaced femoral neck fracture, it is associated with a high reoperation rate. Some surgeons have discussed the use of hemiarthroplasty, but there is limited literature comparing these two treatment modalities. In this study, we compared the perioperative results of hemiarthroplasty with internal fixation for undisplaced femoral neck fractures. Methods We performed a comprehensive review of literatures on PubMed, Web of Science, Embase, and the Cochrane Library for randomized controlled trials and comparative observational studies. Of the 441 studies initially identified, 3 met all inclusion criteria. Two reviewers independently graded study quality and abstracted relevant data including reoperation rate, mortality rate, Harris Hip Score (HHS), length of hospital stay, and operation duration. Results Our results revealed that hemiarthroplasty was associated with a lower reoperation rate than the internal fixation group (OR 4.489; 95% CI 2.030 to 9.927). Mortality rate at postoperative 1 month and 1 year and HHS at postoperative 1 year and 2 years were not different. Length of hospital stay (SMD − 0.800, 95% CI − 1.011 to − 0.589) and operation duration (SMD − 2.497, 95% CI − 2.801 to − 2.193) were shorter in the internal fixation group. Conclusions Compared with the internal fixation group, patients that underwent hemiarthroplasty had a lower reoperation rate and an equivalent overall mortality rate. Our meta-analysis suggests that hemiarthroplasty might be a better treatment choice than internal fixation in treating elderly patients with an undisplaced femoral neck fracture.

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