Fixation of intracapsular femoral neck fractures with a one-hole plate dynamic hip screw

Heyse-Moore, GH

doi:10.1016/0020-1383(95)00201-4

Cited by 20 publications

(9 citation statements)

References 6 publications

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“…Previously, MCS or DHS have been commonly used to treat elderly patients with undisplaced femoral neck fractures [6,10,12,14]. However, comparison between the two devices has been rare.…”

Section: Discussionmentioning

confidence: 99%

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Surgical treatment of undisplaced femoral neck fractures in the elderly

Lee

Huang

Liao

2006

International Orthopaedics (SICO

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The study was a retrospective evaluation and comparison. Eighty-four elderly patients (> 60 years) with undisplaced intracapsular femoral neck fractures were treated with osteosynthesis with either dynamic hip screws (DHS) or multiple cannulated screws (MCS). The Singh index was used to evaluate bone quality. All patients were followed up retrospectively for at least 12 months. The clinical results were compared between the DHS and MCS groups. Both groups were similar in respect of injury mechanisms, mean Singh index, injury-surgery interval, gender and age (all p values > or = 0.29). The MCS group had significantly smaller wound incisions, less haemoglobin level drops, lower blood transfusion rates and shorter hospital stays than the DHS group (all p values < or = 0.008). However, the DHS group had a higher rate of overall success when compared to the MCS group (97.5% versus 84.1%, p=0.04). In conclusion, although DHS fixation requires a larger skin incision and more soft tissue dissection, its use in elderly patients with osteoporosis is recommended due to simple, efficacy and high overall success rate.

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“…Previously, MCS or DHS have been commonly used to treat elderly patients with undisplaced femoral neck fractures [6,10,12,14]. However, comparison between the two devices has been rare.…”

Section: Discussionmentioning

confidence: 99%

“…However, the adequate length of side plate is still controversial. Heyse-Moore [12] reported fixation of intracapsular femoral neck fractures with a one-hole plate DHS. However, the shorter side plate with only one cortical screw fixation may loosen if the femoral cortex is osteoporotic.…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of undisplaced femoral neck fractures in the elderly

Lee

Huang

Liao

2006

International Orthopaedics (SICO

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“…In der AO-Sammelstudie erwies sich die DHS bei vergleichbaren intrakapsulären Frakturen nach der Regressionsanalyse als statistisch überlegenes Implantat bezüglich Pseudarthrosen, Hüftkopfnekro-sen und implantatbezogener Komplikationen (Tabelle 4) [8]. Heyse-Moore bestätigte diese Ergebnisse im Wesentlichen [7]. Eigene biomechanische Untersuchungen und die Arbeit von Deneka et al können die Überle-genheit des Verfahrens mit der erreichten Fixationsstabilität durch die DHS gegenüber reinen Schraubenosteosynthesen erklären [1,4].…”

Section: Abbildungen 15a Und 15bunclassified

Mediale Schenkelhalsfraktur im Erwachsenenalter und Osteosynthese mit der dynamischen Hüftschraube (DHS)

Bonnaire

Muller

2001

Operative Orthopädie und Traumatologie

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“…For non-displaced Garden I and Garden II, the traditional approach is rigid internal fixation with cannulated screws through open or percutaneous approaches on the grounds of high probability of secondary displacement [14–17]. …”

Section: Introductionmentioning

confidence: 99%

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

et al. 2012

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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.

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Fixation of intracapsular femoral neck fractures with a one-hole plate dynamic hip screw

Cited by 20 publications

References 6 publications

Surgical treatment of undisplaced femoral neck fractures in the elderly

Surgical treatment of undisplaced femoral neck fractures in the elderly

Mediale Schenkelhalsfraktur im Erwachsenenalter und Osteosynthese mit der dynamischen Hüftschraube (DHS)

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

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