Efficacy Evaluation for the Treatment of Subcapital Femoral Neck Fracture in Young Adults by Capsulotomy Reduction and Closed Reduction

Liu, Cong; Liu, Meng-Ting; Peng, Li; Xu, Huazi

doi:10.4103/0366-6999.151092

Cited by 10 publications

(7 citation statements)

References 20 publications

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“…The aims of surgical treatment in these fractures are anatomic reduction and stabilized fixation. When the literature is reviewed, important issues such as the timing of surgery and capsulotomy are not clear [ 12 , 13 ]. In addition, it is reported that the success of a treatment depends on whether total anatomic reduction has been obtained, stability of fixation, type of fracture and bone quality [ 14 - 16 ].…”

Section: Introductionmentioning

confidence: 99%

Femur neck fracture in young adults, is it really an urgent surgery indication: retrospective clinical study

Gümüştaş¹,

Tosun²,

Isyar³

et al. 2018

Pan Afr Med J

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IntroductionFemur neck fracture comprises a significant part of intracapsular femur fracture in the intracapsular area of proximal femur and it is mostly seen in elder people. However, these kinds of fractures may be seen in young adults. The present study aims to search factors that affect femoral neck fractures in young adults after surgery carried out by internal determination method.MethodsFiles of patients who were applied internal determination through closed reduction and cannulated screw because of intracapsular femur neck fractures between 2010 and 2015 were analyzed retrospectively. Fractures were evaluated by means of Garden classification, which is based on radiological appearance. The cases were examined in terms of timing of surgery in two groups. Cases operated in the first 24 hours after trauma consisted of group 1 and after 24 hours group 2. Radiological staging in femoral head avascular necrosis was evaluated by Ficat-Arlet classification system whereas acetabular fractures and hip functionality was evaluated by Letournel and Judet system, which is based on direct graph of fracture line.ResultsMean age at the time of surgery for 31 cases included in the study was 40.04 ± 9.63 year. The average duration from injury to surgery was 6.6 (1-20) days. Thirty nine percent of fractures was nondisplaced whereas 61% was displaced. The average follow-up period was 4.9 ± 1.35 years. The rate of nonunion was found 16% and femoral head avascular necrosis 6.4%. According to Judet System, 67.7% of cases showed excellent/good and 32.3% moderate/bad functional results. Six cases had a secondary surgery. Cases who had displaced fractures statistically showed worse functional results and underwent more secondary surgery than patients with nondisplaced fractures (P>0.05). As a result of logistic regression analysis, presence of displacement was a factor negatively affecting the judet score but did not affect the rate of complication. There were no significant differences between the two groups according to the surgical timing in terms of functional outcomes and complications.ConclusionBecause of surgical treatment of femoral neck fractures in the first 24 hours does not affect functional outcomes and complication rate, surgery is recommended in optimal conditions. In the case of displacement, care must be taken in terms of poor functional results.

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Section: Introductionmentioning

confidence: 99%

Femur neck fracture in young adults, is it really an urgent surgery indication: retrospective clinical study

Gümüştaş¹,

Tosun²,

Isyar³

et al. 2018

Pan Afr Med J

View full text Add to dashboard Cite

show abstract

“…Furthermore, recent studies have reported a reduced rate of nonunion after cannulated screws with iliac bone grafting in young adults with femoral neck fractures. [39,40] In young patients, nonunion of the femoral neck is believed to occur more frequently due to mechanical causes, such as femoral head fractures and impaired blood supply from varus displacement. [38] Medial support screws and femoral plates have been identified as valuable options for high-shear Pauwels type III femoral neck fractures.…”

Section: Discussionmentioning

confidence: 99%

Research hotspots and trends in internal fixation of femoral neck fractures from 2010 to 2022: A 12-year bibliometric analysis

Ling

Chen

2023

Medicine

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Background: This study endeavors to scrutinize the hotspots and trends in the literature concerning the internal fixation of femoral neck fractures (INFNF) through a comprehensive bibliometric analysis. Notably, this analytical process encompasses both qualitative and quantitative components. Methods: The present study has utilized the Science Citation Index-Expanded from the Web of Science Core Collection to extract datasets ranging from January 1, 2010, to August 31, 2022. Quantitative analysis was carried out using sophisticated analytical tools such as the Bibliographic Item Co-Occurrence Matrix Builder, the Online Analysis Platform of Literature Metrology, and CiteSpace software. Further, the major Medical Subject Headings terms and their subheading counterparts associated with INFNF were extracted from the PubMed2XL website using the corresponding PMIDs. These Medical Subject Headings terms were employed in conducting a co-word clustering analysis. Ultimately, the Graphical CLUstering TOolkit program was utilized to execute a co-word biclustering analysis to discern the prevailing hotspots in this domain. Results: Between January 1, 2010, and August 31, 2022, a total of 463 publications were issued on INFNF. The INJURY-INTERNAL JOURNAL OF THE CARE OF THE INJURED stood out as the most extensively perused journal in this area. Notably, China emerged as the foremost contributor to publishing articles within the last 12 years, followed by the United States and Canada. McMaster University was identified as the leading institution in INFNF research, while Bhandari M emerged as the most prolific author in this field. Moreover, the study identified five notable research hotspots within the domain of INFNF. Conclusions: This study has identified five critical areas of research in the field of INFNF. It suggests that the primary focus of future research is likely to center on advancing internal fixation methods and robot-assisted instrumentation for femoral neck fractures. As such, this study provides valuable insights into future research directions and ideas for those working in this field.

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“…Additionally, it helps in reducing the economic burden experienced by the individual and the society in terms of rehabilitation of the injured. There is a scarcity of recorded literature that relates the timing of surgery and the effect of displacement with functional outcomes after the surgery [ 12 , 13 ]. With this background, this study aimed to assess the association between the timing of the surgery and its functional outcomes and surgical complications in adult patients.…”

Section: Introductionmentioning

confidence: 99%

Is Emergency Surgery an Indicator of Good Functional Outcomes in Neck of Femur Fractures Among Adults: A Prospective Clinical Study

Sharma¹,

Shanthappa²,

Agarawal³

2022

Cureus

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BackgroundBecause of their high frequency and severity, femoral neck fractures are a major public health concern. There is a scarcity of recorded literature that relates the timing of surgery, the effect of displacement, and the tamponade effect of the neck of the femur fracture (FNF) issues such as non-union and avascular necrosis of the femoral head after surgery. This study aimed to assess the association between the timing of the surgery and its functional outcome and surgical complications. MethodologyThis observational study was done among patients diagnosed with an FNF who were admitted in a tertiary care center for a period of three years. The study included 36 participants who were selected using the universal sampling technique. Regarding the timing of the surgery, the study participants were divided into two groups, namely, patients who were operated on before 24 hours and those who were operated on after 24 hours. ResultsThe mean age of the study participants was 36.19 years, and about 75% were males. About 25% of the participants had a complication. There was a statistically significant association between functional assessment at 24 months and surgery done before 24 hours and non-displaced fracture. Moreover, there was a statistically significant association between the timing of surgery before 24 hours and fewer complications. ConclusionsIn young adults, the timing of the surgery (before 24 hours) had good functional outcomes after 24 months than the late timing of the surgery (after 24 hours). Whereas there was no statistically significant difference for functional outcomes at the one-month follow-up with the timing of the surgery. Males had a high probability of getting an FNF. The prevalence of complications was low in individuals operated on before 24 hours.

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Efficacy Evaluation for the Treatment of Subcapital Femoral Neck Fracture in Young Adults by Capsulotomy Reduction and Closed Reduction

Cited by 10 publications

References 20 publications

Femur neck fracture in young adults, is it really an urgent surgery indication: retrospective clinical study

Femur neck fracture in young adults, is it really an urgent surgery indication: retrospective clinical study

Research hotspots and trends in internal fixation of femoral neck fractures from 2010 to 2022: A 12-year bibliometric analysis

Is Emergency Surgery an Indicator of Good Functional Outcomes in Neck of Femur Fractures Among Adults: A Prospective Clinical Study

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