Hemarthrosis after femoral neck fracture fixation

Egund, Niels; Nilsson, Lars; Strömqvist, Björn; Wlngstrand, Hans; Malmgren, N.

doi:10.3109/17453678809148777

Cited by 9 publications

(1 citation statement)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…13 In addition, any articular disruption will subject the subchondral bone of the femoral head to the pressure of a haemarthrosis; this has been recognised as a potential factor for necrosis. [14][15][16][17] This may also apply to breaching of the posterior cortex of the femoral neck, and there is also the possibility of damage to the posterior circumflex artery. It therefore seems probable that in the osteosynthesis of Garden type-I fractures of the femoral neck, independent of the initial trauma, intra-articular penetration and posterior cortical breaching increase the risk of avascular necrosis.…”

Section: Gardenmentioning

confidence: 99%

Articular Penetration Is More Likely in Garden-I Fractures of the Hip

Hernigou

Besnard

1997

The Journal of Bone and Joint Surgery. British volume

View full text Add to dashboard Cite

Plain radiographs show only two dimensions of a three-dimensional object. On anteroposterior and lateral radiographs an implant may appear to be safely within the head of the femur although surface penetration has occurred. We have attempted to identify this complication in the treatment of fractures of the femoral neck and have analysed the position of a screw or pin in the femoral head and neck on the basis of orthogonal frontal and lateral radiographs. A retrospective analysis of 60 cases of osteosynthesis of fractures of the femoral neck confirmed the risk of non-recognition of articular penetration or breaking of the cortex of the neck during surgery. Unrecognised screw penetration of the hip was observed in 8% and of the posterior part of the neck in 10%. The risk differs according to the type of fracture: it is greater in the coxa valga produced by Garden-I fractures of the femoral neck.

show abstract