Internal Fixation of Undisplaced Femoral Neck Fractures in the Elderly: A Retrospective Comparison of Fixation Methods

Lee, Yih Shiunn; Chen, Shih Hao; Tsuang, Yang Hwei; Huang, Hui Ling; Lo, Ting Ying; Huang, Chien Rae

doi:10.1097/ta.0b013e31802c821c

Cited by 50 publications

(25 citation statements)

References 20 publications

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“…Consequently, there is a need to develop a minimally invasive approach to the fracture zone as in other anatomical regions e.g. thoracolumbar, femoral neck and distal radius fractures [14,17,26].…”

Section: Discussionmentioning

confidence: 99%

Efficacy of 3-D-imaging in minimally-invasive screw fixation of proximal phalanx fractures: A cadaveric study

Oldewurtel

Kendoff

O’Loughlin

et al. 2010

THC

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The current study evaluated whether 3-D fluoroscopic imaging is capable of adequate visualisation, reduction and effective guidance of implant placement during a minimally-invasive screw-fixation (MISF) procedure in the treatment of proximal phalanx fractures. A comparison with conventional intraoperative 2-D imaging was performed in a cadaveric model. Conventional 2-D and 3-D imaging series were performed following the creation of proximal phalanx fractures, reduction and fixation, pre-and post-operatively. For both imaging modalities, attention was paid to A) correct reduction, B) screw-placement and, if present, C) intra-articular offset of fracture edges.The results revealed no related overall advantage of the 3-D imaging system over normal 2-D fluoroscopy at the proximal phalanx region. The authors conclude that, given the cost of 3-D imaging technology, as well as the increased time required for image acquisition, its routine use in the treatment of phalanx fracture cases is not justifiable at present.

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Section: Discussionmentioning

confidence: 99%

Efficacy of 3-D-imaging in minimally-invasive screw fixation of proximal phalanx fractures: A cadaveric study

Oldewurtel

Kendoff

O’Loughlin

et al. 2010

THC

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“…Osteoporotik kemiklerde üstün biyomekanik özellikleri ve mükemmel kırık stabilitesi nedeniyle, DHS'nin revizyon cerrahisini oranlarını azaltabileceği düşünülmektedir. Cerrahi sürenin uzun olması ve kanüllüye göre daha fazla kan kaybı gibi dezavantajları, minimal insizyonlu kesilerle azaltılmıştır (22)(23)(24)(25).…”

Section: Tedaviunclassified

Current Approaches In Femoral Neck Fractures

Özkan¹,

Adanaş²

2018

Van Med J

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“…Bu yüzden, osteoporotik kemiklerde üstün biyomekanik özellikleri ve mükemmel kırık stabilitesi nedeniyle, DKV'nin revizyon cerrahisini azaltabileceği düşünülmektedir. Uzun cerrahi süresi ve kanüllüye göre daha fazla kan kaybı gibi dezavantajları minimal insizyonlu kesilerle azaltılmıştır [7,10]. Majernicek [11], DKV metodunun ekonomik, uygun ve literatür bilgileriyle kıyaslandığında yeterli sonuçları sağlayan bir tedavi yaklaşımı olduğunu bildirmiştir.…”

Section: Yöntemlerunclassified

Comparison of cannulated screw and dynamic hip screw for the treatment of femoral neck fractures

Gem

Özkul²,

Alemdar³

et al. 2015

J Clin Exp Invest

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Objective:We aimed to compare the results of surgeries for intracapsular femoral neck fractures with cannulated screws(CS) and dynamic hip screw(DHS), due to lack of evidence which implant for internal fixation of femoral neck fractures is better . Methods:In our clinic between September 2005 and November 2009, 38 patients were operated with intracapsular transcervical fracture of collum femoris between17 to 65 years of age. Eighteen were operated with DHS(47.4%) and 20 were operated with CS fixation(52.6%).Results: 16 patients (42.1%) were female and 22 (57.9%) were male and the mean age was 37.13 (17-65) years. The mean duration of follow-up was 18.05 (2-57) months. 26 patients were operated in 1 st -3 rd day (68.4%), 9 patients were operated in 4 to 7 day (23.7%), 3 patients were operated in after 7 th day (7.9%). In the DHS group, 9 (50%) patients had avascular necrosis (AVN), 6 (33.3%) patients had implant failure, 3 (16.7%) patients had delayed union, 5 (27.8%) patients had nonunion, 1 (5.6%) patient had infection, and 1 (5.6%) patient had myositis ossificans. According to the criteria of Salvati Wilson hip joint assessment, in the DHS group 8 patients (44.4%) were very good, 5 patients (27.8%) were good, 5 patients (27.8%) were moderate. Salvati score was evaluated as average of 28 points . İn the CS group, 8 (40%) patients had AVN, 1 (5%) had delayed union, 3 (15%) of the cases had nonunion and 1 (5%) patients infection was detected. According to the criteria of the Salvati-Wilson, in the CS group13 (65%) of them are very good, 5 (25%) were good, 2 (10%) were assessed as moderate. Salvati score was evaluated as average of 33 points . In the CS group none of the patients had implant failure, in the DHS group 6 patients had implant failure (33.3%) (p<0,05). Conclusion:Except for the high rate of implant failure detection in the DHS group method, no significant difference between complications and functional results between two groups. J Clin Exp Invest 2015; 6 (3): [256][257][258][259][260][261][262]

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Internal Fixation of Undisplaced Femoral Neck Fractures in the Elderly: A Retrospective Comparison of Fixation Methods

Abstract: CDHS had more disadvantages related to more soft tissue stripping than either MIDHS or MCS. MIDHS showed a trend of an increased rate of overall success in an elderly patient with undisplaced femoral neck fracture when compared with MCS.

Cited by 50 publications

References 20 publications

Efficacy of 3-D-imaging in minimally-invasive screw fixation of proximal phalanx fractures: A cadaveric study

Efficacy of 3-D-imaging in minimally-invasive screw fixation of proximal phalanx fractures: A cadaveric study

Current Approaches In Femoral Neck Fractures

Comparison of cannulated screw and dynamic hip screw for the treatment of femoral neck fractures

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