Dislocated Femoral Neck Fractures:A Follow-up Study of 98 Cases Treated by Multiple AO (ASIF) Cancellous Bone Screws

Høgh, J; Jensen, John; Lauritzen, J

doi:10.3109/17453678208992210

Cited by 35 publications

(11 citation statements)

References 25 publications

(18 reference statements)

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“…Most authors describe their personal preference, such as placement of the lower screw on the calcar femorale 3,4,7,8 or central placement of the screws on the lateral view. 3,4 Others have recommended a spread of screws on the lateral radiograph.…”

Section: Discussionmentioning

confidence: 99%

The complications of displaced intracapsular fractures of the hip

Gurusamy

Parker²,

Rowlands

2005

The Journal of Bone and Joint Surgery. British volume

126

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We have studied the placement of three screws within the femoral head and the degree of angulation of the screws in 395 patients with displaced intracapsular fracture of the hip to see if either was related to the risk of failure of the fracture to unite. No relationship between nonunion of the fracture was found regarding the position of the screws on the anteroposterior radiograph. However, we found that a reduced spread of the screws on the lateral view was associated with an increased risk of nonunion of the fracture.

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Section: Discussionmentioning

confidence: 99%

The complications of displaced intracapsular fractures of the hip

Gurusamy

Parker²,

Rowlands

2005

The Journal of Bone and Joint Surgery. British volume

126

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“…These include patient demographics such as increased age, 15 male gender, 31 and decreased bone mineral density; 22,44 or fracture characteristics such as the presence of comminution [31][32][33] or fracture displacement 12,20,38 and quality of reduction. 11,12,[15][16][17][18][19][20][21]41 (Table 4). In the present study, increasing age, displaced fractures, and quality of reduction were associated with an increased relative risk of failure.…”

Section: Relevant Literaturementioning

confidence: 99%

The Value of Washers in Cannulated Screw Fixation of Femoral Neck Fractures

Zlowodzki

Weening

Petrisor

et al. 2005

Journal of Trauma: Injury, Infection &Amp; Critical Care

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This study confirms previous findings in the literature that increased age, a displaced fracture type, and poor reduction increase the risk of fixation failure. Contradictory to current belief, there was no significant association between the distance of the inferior screw to the inferior/medial femoral neck cortex and fixation failure. A novel finding of the present study is that the use of washers significantly decreases the risk of fixation failure.

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“…14 Hogh et al in reported 24.5% rate of non-union in 98 patients treated with AO screws. 15 Baker et al reported 9.7% rate of non-union in 165 patients treated with multiple pins. 16 …”

Section: Non-unionmentioning

confidence: 99%

“…14 Hogh et al in 1982 reported 14.3% rate of osteonecrosis in 98 patients treated with AO screws. 15 …”

Section: Osteonecrosismentioning

confidence: 99%

Cannulated cancellous screws fixation in intracapsular fracture neck femur: a study with an emphasis on result of osteosynthesis

Vijay

Srivastava

2016

Int J Res Orthop

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Background: Fracture neck of femur has always presented a great challenge to the orthopaedic surgeons. It is rightly called as “unsolved fracture” as far as treatment and results are concerned. Results generally depend upon time period elapsed from fracture to surgery, adequacy of reduction and fixation. Fixation with cannulated cancellous screw is usually adequate for femoral neck fractures. The aim of the study was to analyse the results of treatment of fracture neck of femur with cannulated cancellous screw fixation and to compare the results with others in the literature using the same modality. Methods: 25 patients with intra capsular neck of femur fracture were followed for a period of two years post-surgery and their functional outcome was assessed based upon harris hip scoring system.Results: According to harris hip scoring system, we had excellent results in 72% cases, good in 16% cases, fair in 8% and poor in 4%. One patient went into non-union and two developed avascular necrosis of femoral head.Conclusions: Management of intracapsular fracture neck of femur with cannulated cancellous screw fixation is a very good method of treatment being a surgically easy procedure. Use of multiple cannulated cancellous screw have a compression effect at the fracture site. It also avoids re displacement and rotation.

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Dislocated Femoral Neck Fractures:A Follow-up Study of 98 Cases Treated by Multiple AO (ASIF) Cancellous Bone Screws

Cited by 35 publications

References 25 publications

The complications of displaced intracapsular fractures of the hip

The complications of displaced intracapsular fractures of the hip

The Value of Washers in Cannulated Screw Fixation of Femoral Neck Fractures

Cannulated cancellous screws fixation in intracapsular fracture neck femur: a study with an emphasis on result of osteosynthesis

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