Complete spontaneous improvement of non-displaced femoral neck fracture without any surgery modality

Abstract

SummaryBackground:Fracture of the femoral neck is still a medical dilemma due to high rates of complications and the choice of treatment. Although rigid internal fixation with cannulated screws through open or percutaneous approaches is the traditional treatment for undisplaced fractures (Garden type I and II) to avoid secondary displacement, considerable controversy still exists regarding the rate of this problem, thus it seems that a new trend in conservative management of this types of femoral neck fracture is emerging.Case Report:Our case is a 46-year-old woman with Garden type II femoral neck fracture, who refused all surgical options and willingly ignored her problem. Six months later she returned to our center with uneventful recovery of her fracture.Conclusions:The previous belief about the absolute poor prognosis of Garden type II with 100% rate of secondary displacement with non-operative management must have been an overestimation or the success histories in the literature about non-operative treatment of these fractures originates from inherited weakness of the Garden classification in differentiating type I from type II. The patient gave the informed consent prior being included into the study.

Femoral Neck Fracture in a Hemodialysis Patient after Liver Transplantation: A Case Report

“… 3 ) The occurrence of fractures in the proximal femoral region will continue to increase. 1 , 2 , 6 , 7 , 17 ) These growing numbers are associated with problems related to osteoporosis, especially among elderly patients. 4 , 18 ) The long period of bed rest during conservative treatment can lead to walking disability, sarcopenia, frailty, and other complications.…”

“…A previous case report described a patient with a non-dislocated femoral neck fracture who achieved bone union and became able to walk after 4 weeks of bed rest. 2 ) Another case report described a patient with a dislocated femoral neck fracture who did not obtain bone union but was able to walk after 3 weeks of bed rest led to decreased pain. 18 ) However, conservative treatment is realistic in older patients with a femoral neck fracture and severe underlying diseases like the present patient.…”

“…Femoral neck fracture, which is especially common in elderly patients, is an injury that negatively influences activities of daily living (ADL) and quality of life (QOL). 1 , 2 , 3 ) Conservative treatment requires a long period of bed rest and causes complications such as dementia and aspiration pneumonitis that can sometimes lead directly or indirectly to patient death. 1 , 3 , 4 , 5 ) Surgical treatment is usually performed as an urgent procedure because development of the above-mentioned complications can be prevented by restoring the ability to stand and walk as soon as possible.…”

Three-Dimensional Reconstruction Modeling of the Spatial Displacement, Extent and Rotational Orientation of Undisplaced Femoral Neck Fractures

“…For this reason, the authentic displacement of the femoral head is in 3D reconstruction offers advantages to the 2D approach and should be further investigated. 33 …”

“… 34 – 36 For instance, Gose et al found that 3D reconstructions was beneficial for the analysis of the femoral offset, the neck-shaft angle and the femoral anteversion of individuals with cerebral palsy, 34 while Li et al found that 3D reconstructions were useful for measuring the antero-lateral coverage of femoral head. 33 It is our belief that 3D CTs are the most accurate and direct method available for the assessment of spatial displacement in femoral head fractures.…”