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

scholarly journals Femoral neck fractures in osteogenesis imperfecta patients: A retrospective case series and novel surgical technique

2017 ◽  
Vol 3 (3) ◽  
pp. 14
Author(s):  
Mark T. Gorsche ◽  
Michelle S. Caird ◽  
Frances A. Farley ◽  
G. Ying Li ◽  
Matthew D. Abbott
Keyword(s):  
Femoral Neck ◽  
Osteogenesis Imperfecta ◽  
Proximal Femur ◽  
Screw Fixation ◽  
Case Series ◽  
Femoral Neck Fractures ◽  
Cannulated Screw ◽  
Coxa Vara ◽  
Retrospective Case ◽  
Revision Procedure

Case: We conducted a retrospective review of three cases of femoral neck fractures treated operatively in patients with osteogenesis imperfecta (OI). All of our patients had acetabular protrusio as well as coxa vara deformity. All patients successfully underwent cannulated screw fixation without avascular necrosis (AVN). One patient required a sub-adductor hip arthrogram during a revision procedure to assist with visualization of the proximal femur which resulted in improved screw purchase.Conclusions: We report on three cases of femoral neck fractures in OI patients and a previously undescribed technique; using a hip arthrogram to assist in fluoroscopic evaluation of the proximal femur in these osteopenic patients.

scholarly journals Clinical results of cannulated screw internal fixation via direct anterior approach for femoral neck fractures in young adults: a retrospective study

2020 ◽  
Author(s):  
Yi Yuan ◽  
Rui Huang ◽  
Jia-fu Yang ◽  
Fa-dong Li ◽  
zu-jian xu ◽  
...  
Keyword(s):  
Young Adults ◽  
Femoral Neck ◽  
Open Reduction ◽  
Anterior Approach ◽  
Screw Fixation ◽  
Direct Anterior Approach ◽  
Femoral Neck Fractures ◽  
Cannulated Screw ◽  
Harris Score

Abstract Purpose: To investigate the effectiveness of open reduction and cannulated screw fixation via direct anterior approach (DAA) for the treatment of femoral neck fractures in young adults. Methods: The data from 43 young patients with irreducible femoral neck fractures who underwent this procedure from January 2013 to December 2017 were retrospectively analyzed. Garden's alignment index was measured after the operation and at the final follow-up to determine the reduction quality, and the Harris score was recorded at the final follow-up to assess hip function. Results: The average follow-up duration was 19 months (range, 12-31 months). Implant failure was observed in 3 cases and was associated with femoral neck shortening, and nonunion occurred in 2 patients. A total of 6 patients Exhibited features of avascular necrosis (AVN), four of whom (Ficat grade III) underwent total hip arthroplasty and two of whom (Ficat grade II) were asymptomatic at the final follow-up. There were no statistically significant differences in Garden's alignment index, as measured on X-ray radiographs, immediately after surgery and at the final follow-up. At the final follow-up, the mean Harris score was 82.41±14.06. The Harris score was considered excellent for 17 cases, good for 13 cases, fair for 3 cases, and poor for 4 cases. The rate of excellent and good outcomes was 81.1%. Conclusions: For cases of irreducible femoral neck fractures, open reduction and cannulated screw fixation via DAA can yield relatively good clinical outcomes.

Cannulated Screw Fixation of Femoral Neck Fractures in Elderly Patients

Swiss Surgery ◽  
2001 ◽  
Vol 7 (4) ◽  
pp. 167-172 ◽  
Author(s):  
Sträuli ◽  
Seekamp ◽  
Lehmann ◽  
Bosch
Keyword(s):  
Femoral Neck ◽  
Elderly Patients ◽  
Screw Fixation ◽  
Femoral Neck Fractures ◽  
Cannulated Screw ◽  
Wird Eine ◽  
Eine Analyse

112 mediale Schenkelhalsfrakturen wurden unabhängig vom Dislokationsgrad bei 110 Patienten mit einem Durchschnittsalter von 78.4 Jahren (25-96 Jahre) zwischen 1.6.97 und 31.12.98 im Rahmen einer prospektiven Beobachtungsstudie kopferhaltend mit einer Schraubenosteosynthese versorgt. Mit einem durchschnittlichen Follow-up von 6.8 Monaten (3-16 Monate) konnten 60 Patienten mit 61 Frakturen klinisch und radiologisch nachkontrolliert werden. 22.7% der Patienten sind während der Beobachtungszeit verstorben. 68.9% der nachkontrollierten Frakturen sind geheilt. Eine Partial- oder Totalnekrose des Hüftkopfes ist in 18%, eine Pseudarthrose in 8.2% und eine Dislokation in 4.9% der Fälle aufgetreten. 18 Patienten (29.5%) mussten reoperiert werden, wobei 1/3 auf Schraubenwechsel oder Schraubenentfernungen, 2/3 auf eine sekundäre Alloarthroplastik entfallen. Bezüglich Schmerzen konnte in 81.6% (unter Ausschluss der mit einer Prothese reoperierten Patienten) ein gutes Resultat erreicht werden. In der Diskussion wird eine Analyse der möglichen Fehlerquellen vorgenommen mit dem Ziel, künftig mit der Schraubenosteosynthese eine noch bessere Heilungsrate zu erzielen.

scholarly journals TiRobot ‐Assisted Percutaneous Cannulated Screw Fixation in the Treatment of Femoral Neck Fractures: A Minimum 2‐Year Follow‐up of 50 Patients

2021 ◽  
Vol 13 (1) ◽  
pp. 244-252
Author(s):  
Zong‐dong Zhu ◽  
Cheng‐wei Xiao ◽  
Bo Tan ◽  
Xiao‐ming Tang ◽  
Dan Wei ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Screw Fixation ◽  
Femoral Neck Fractures ◽  
Cannulated Screw

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.

Modified cannulated screw fixation in the treatment of Pauwels type III femoral neck fractures: A biomechanical study

2020 ◽  
Vol 74 ◽  
pp. 103-110 ◽  
Author(s):  
Lin Zhou ◽  
Jiaming Lin ◽  
Anfei Huang ◽  
Weidong Gan ◽  
Xu Zhai ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Screw Fixation ◽  
Biomechanical Study ◽  
Femoral Neck Fractures ◽  
Cannulated Screw ◽  
Type Iii
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