Ob jec tive: Sig nif i cant ad vances in the sur gi cal treat ment of intracapsular frac tures of the fem oral neck be gan in the mid-twen ti eth cen tury, because of the better un der stand ing of the char acter is tics and biomechanics of the frac tures. The aim of this study is to pre cisely iden tify the charac ter is tics of the frac tures, that will be taken into ac count in the in di vid u al iza tion of treat ment of intracapsular frac tures of the fe mur. Ma te ri als and Meth ods: We an a lyzed, in a ret ro spective study, 148 pa tients with intraarticular frac tures of the fem o ral neck from the reg is try of the Or tho paedic De part ment in Pozarevac, in the pe riod from 2009 to 2014. Frac tures were clas si fied by the mod i fied Gar den's clas si fi ca tion. Gar den type III frac tures were di vided into two sub-types. Gar den type IIIa included frac tures in which the dis tance be tween the frag ments of the me dial cor tex was less than ½ the diam e ter of the fem o ral neck. Gar den type III b included frac tures in which the dis tance of the me dial cor tex of the frac ture frag ments was larger than ½ the di am e ter of the fem o ral neck. Pa tients with the Gar den type I frac ture (6 cases), Gar den type II (22 cases), Gar den type IIIa (35 cases) and Gar den type IV (5 cases) were treated by closed re duc tion and in ter nal fix a tion. Pa tients with Gar den type IIIb (28 cases) and Gar den type IV (52 cases) were treated by pri mary to tal hip re place ment. Re sults : All frac tures in pa tients with the frac ture Gar den type I (6 cases) and Gar den type II (22 cases) have healed and avascular ne cro sis did not oc cur. In the group of pa tients with the Gar den type III b fracture, 3 pa tients with non-un ion were treated with to tal hip arthroplasty. In the same group in two pa tients avascular ne cro sis oc curred. In the group of pa tients with the Gar den type IV fracture who were treated by closed re duc tion and in ternal fix a tion (5 cases), two pa tients with non-un ion were treated with to tal hip arthroplasty. In pa tients with Gar den sub-type III b, in the time of mon i tor ing we found 4 dis lo ca tions af ter pri mary to tal hip arthroplasty. One pa tient un der went acetabular re vision in the same group. In the group of pa tients with Gar den type IV frac ture, we found 7 dis lo ca tions after to tal hip arthroplasty and two pa tients un der went acetabular re vi sion sur gery. Con clu sion: Our re sults in di cate that frac tures Garden type I, II and Gar den type III a can be suc cessfully treated with in ter nal fix a tion. Frac tures Gar den type III b and IV should be treated by pri mary hip arthroplasty, be cause of in ter nal fix a tion of these frac tures lead to un sat is fac tory re sults.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.