Factors Influencing the Outcome of Osteosynthesis in the Fracture of the Femoral Neck in Young Adult Patients

Overview

Journal Rev Bras Ortop (Sao Paulo)

Publisher Thieme

Specialty Orthopedics

Date 2019 Aug 23

PMID 31435107

Citations 2

Authors

Daniel Alves Ramallo

Leandro Lemgruber Kropf

Alexandre Dreifus Zaluski

Amanda Dos Santos Cavalcanti

Maria Eugenia Leite Duarte

Joao Antonio Matheus Guimaraes

Affiliations

Soon will be listed here.

Abstract

To evaluate the factors that influence the outcome of osteosynthesis after closed reduction of the fracture of the femoral neck in young adult patients. A retrospective study was conducted, reviewing the data of patients operated in a large orthopedic hospital from 2003 to 2011; a total of 81 patients met the inclusion criteria. The time interval between the fracture and the surgery, the initial fracture deviation, the quality of the reduction, and the placement of the implant were evaluated. The present study observed a strong relationship between the quality of the reduction and therapeutic success. The degree of the initial deviation and the time elapsed between the initial trauma and the osteosynthesis did not influence the surgical outcome regarding bone consolidation. The correct positioning of the implants was associated with a satisfactory evolution in the postoperative period. The quality of the reduction and the positioning of the implants are factors that influence the results of osteosynthesis in fractures of the femoral neck in young adult patients.

Citing Articles

Biomechanical Research of Three Parallel Cannulated Compression Screws in Oblique Triangle Configuration for Fixation of Femoral Neck Unstable Fractures.

Zhang R, Zhang W, Yang G, Wang D, Su P, Zhang Y Orthop Surg. 2024; 16(4):953-964.

PMID: 38389204 PMC: 10984827. DOI: 10.1111/os.14004.

Internal Fixation of Garden Type III Femoral Neck Fractures with Sliding Hip Screw and Anti-Rotation Screw: Does Increased Valgus Improve Healing?.

Hackl S, von Ruden C, Weisemann F, Klopfer-Kramer I, Stuby F, Hogel F Medicina (Kaunas). 2022; 58(11).

PMID: 36363531 PMC: 9699387. DOI: 10.3390/medicina58111573.

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