Our results suggested that intramedullary nail with a helical blade is more recommended for basicervical FNF compared with extramedullary plate with a sliding hip screw.įemoral neck fractures Fracture fixation Hip fracture Internal.Ĭopyright © 2018. In the multivariable analysis, use of extramedullary plating with a sliding hip screw was an independent significant risk factor for both collapse of fracture site (odds ratio 6.84 95% confidence interval 1.91-24.5, p = 0.003) and fixation failure (odds ratio 12.2 95% confidence interval 1.08-137.7, p = 0.042).īasicervical FNF treated with extramedullary plate with a sliding hip screw is more likely to fail than that treated with intramedullary nail with a helical blade. We performed a multivariable analysis to determine risk factors associated with fracture site collapse and fixation failure.Īmong the 69 patients with basicervical FNF, 17 (24.6%) showed collapse of fracture site, and 6 (8.6%) underwent conversion to arthroplasty because of fixation failure. We evaluated the rate of collapse of fracture site and reoperation due to fixation failure. ICD-10 code S72.044A for Nondisplaced fracture of base of neck of right femur, initial encounter for closed fracture is a medical classification as listed by. There are few large nationwide studies, including basicervical FNFs (bFNFs), on epidemiology, treatment, and mortality. Among the identified 77 patients with basicervical FNF, 69 patients were followed up for at least 12 months. Although femoral neck fractures (FNFs) are common in orthopedic departments, optimal treatment methods remain in dispute. A S-pin was placed percutaneously at the inferomedial margin of the fracture, and reduction was achieved by applying manual valgus force along the fracture line. The treatment of FNFs in patients > 60 years is still under debate 3 5. To identify basicervical FNF with a minimum of 12 months follow-up, we retrospectively reviewed records of 3217 patients who underwent hip fracture surgery from May 2003 to March 2016. We introduce a simple reduction technique using one Steinmann pin (S-pin) for valgus-impacted FNFs without any interference of the femur head. A third, less studied category of fractures is the basicervical FNFs (bFNFs), defined as fractures through the base of the femoral neck at their junction with the intertrochanteric region. The purpose of this study was (1) to investigate the incidence of fixation failure and (2) to determine risk factors for fixation failure in basicervical FNF after internal fixation. Basicervical femur neck fracture (FNF) is a rare type of fracture, and is associated with increased risk of fixation failure due to its inherent instability.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |