Two cannulated hip screws for femoral neck fractures: treatment of choice or asking for trouble?

Archives of Orthopaedic and Trauma Surgery
Patrick KrastmanInger B Schipper

Abstract

Undisplaced intracapsular fractures are predominantly treated with a minimally invasive fixation technique, whereas the standard treatment for displaced intracapsular fractures is still a subject of discussion. The purpose of this study was to identify the determinants influencing the outcome of intracapsular femoral neck fractures, treated with two cannulated hip screws. From January 1998 through December 2002 data of all consecutive patients with an intracapsular femoral fracture, treated with two cannulated screws, were documented. Consolidation was chosen as the primary endpoint, mortality and a reoperation for replacement of osteosynthesis were defined secondary endpoints. One hundred and twelve patients were included in the study. Fifty six percent of the intracapsular fractures healed within 1 year. Consolidation was accomplished in 95% of the stable fractures. Consolidation rates were negatively influenced by unstable fractures and inadequate anatomical reduction. The position of the screws did not influence consolidation rates. Reintervention rates were related to the number of local complications and the fracture type. In conclusion, the results of this study show that in case of operative treatment, undisplaced femor...Continue Reading

References

Feb 1, 1976·The Journal of Bone and Joint Surgery. British Volume·R BarnesE A Nicoll
Jun 1, 1991·Journal of Neuroscience Methods·F ViennotG Gombos
Sep 1, 1991·The Journal of Bone and Joint Surgery. British Volume·M J ParkerA A Bernard
Jan 1, 1991·The Journal of Bone and Joint Surgery. British Volume·C OlerudE Hellquist
Apr 1, 1986·The Journal of Trauma·M F Swiontkowski, R A Winquist
Jun 1, 1984·Acta Orthopaedica Scandinavica·O JohnellI Sernbo
Nov 13, 1993·BMJ : British Medical Journal·G S KeeneG A Pryor
Jan 1, 1994·The Journal of Bone and Joint Surgery. American Volume·G L Lu-YaoJ E Wennberg
Nov 1, 2001·The Cochrane Database of Systematic Reviews·M J Parker, G Stockton
May 16, 2002·Clinical Orthopaedics and Related Research·Jesse EislerMarvin Gilbert
Oct 21, 2006·The Cochrane Database of Systematic Reviews·M J Parker, K Gurusamy

❮ Previous
Next ❯

Citations

Jun 27, 2014·ISRN Orthopedics·Carlos Roberto SchwartsmannMarcelo Faria Silva
Dec 24, 2008·Journal of Biomechanical Engineering·Rad Zdero, Emil H Schemitsch
Sep 27, 2015·Clinical and Applied Thrombosis/hemostasis : Official Journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis·Michael R LassenAlexander G G Turpie
Jan 1, 2012·Revista Brasileira De Ortopedia·Daniel LauxenAnthony Kerbes Yépez
Mar 1, 2012·Revista Brasileira De Ortopedia·Ricardo BasileEdmilson Takehiro Takata
Jul 25, 2018·Acta ortopedica brasileira·Henrique MansurMax Rogerio Freitas Ramos
Jan 16, 2009·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·R ZderoE H Schemitsch

❮ Previous
Next ❯

Related Concepts

Related Feeds

22q11 Deletion Syndrome

22q11.2 deletion syndrome, also known as DiGeorge syndrome, is a congenital disorder caused by a partial deletion of chromosome 22. Symptoms include heart defects, poor immune system function, a cleft palate, complications related to low levels of calcium in the blood, and delayed development. Discover the latest research on this disease here.