Internal fixation of 410 cervical hip fractures: A randomized comparison of a single nail versus two hook-pins

Outcome of undisplaced and moderately displaced femoral neck fractures

“…The degree of displacement might parallel the degree of vascular compromise, which is in turn thought to be part of the etiology of femoral head necrosis. This rate of necrosis has also been seen in other studies (Nilsson et al 1988, Sernbo et al 1990, Chiu and Lo 1996. We found that healing complications were significantly more frequent in the moderately displaced fractures; thus, the method with two parallel screws may be insufficient, resulting in nonunion.…”

“…In some previous studies on femoral neck fractures treated with parallel nails, the proportion of undisplaced fractures has ranged from 17% to 35% (Stromqvist et al 1987, Nilsson et al 1988, Holmberg et al 1990, Sernbo et al 1990, Wihlborg 1990, which indicates that the distinction between undisplaced and displaced fractures is not easy. Furthermore, it could jeopardize the comparison between different studies since inclusion of too many undisplaced fractures amongst the displaced fractures could lower the rate of reoperation reported.…”

“…The undisplaced fractures are thought to be inherently stable and are commonly believed to have good healing potential (Pryor 1995). In general, they are treated with parallel screws-but even so, in several studies the failure rate ranges from 5 to 20% (Stromqvist et al 1987, Nilsson et al 1988, Sernbo et al 1990, Holmberg et al 1990, Conn and Parker 2004. One study found increased risk of healing disturbance with greater degrees of lateral angulation even when AP radiographs showed no displacement (Conn and Parker 2004).…”

Quality of Life and Femoral Neck Fractures

“…Optimising the treatment for improved outcome and a reduced need for secondary surgery is therefore mandatory. In many studies on hip fractures, the outcome of treatment has been defined in terms of complications or specific hip scores (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17). Quality of life as an outcome measure is rarely used.…”

Prediction of fixation failure in femoral neck fractures: Comminution and avascularity studied in 40 patients

“…A number of internally-fixed femoral neck fractures fail independently of the primary surgical result (Madsen et al 1987, Sernbo et al 1990, Stromqvist et al 1992, Benterud et al 1993). The number of failures might be reduced by improved prognostication of failures.…”