Factors Predisposing to Healing Complications After Internal Fixation of Femoral Neck Fracture A Stepwise Logistic Regression Analysis

Alberts, Karl Akke; Jervaeus, Jacob

doi:10.1097/00003086-199008000-00023

Cited by 56 publications

(31 citation statements)

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“…In agreement with other studies, the age and the sex of the patient did not correlate to the rate of radiographic healing complications (Nilsson et al 1988, Alberts and Jervaeus 1990, Alho et al 1991, Stromqvist et al 1992.…”

Section: Discussionsupporting

confidence: 88%

Factors predicting healing complications in femoral neck fractures: 138 patients followed for 2 years

Nilsson

Johansson²,

Strömqvist

1993

Acta Orthopaedica Scandinavica

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Section: Discussionsupporting

confidence: 88%

Factors predicting healing complications in femoral neck fractures: 138 patients followed for 2 years

Nilsson

Johansson²,

Strömqvist

1993

Acta Orthopaedica Scandinavica

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“…Of the moderately displaced fractures there were 9 reoperations due to femoral head necrosis, 11 due to local pain, 2 due to loss of position of implant without fracture displacement, 1 due to new fracture around the implant, and 9 due to infection and hematoma. Parameters thought to be associated with risk of reoperation (Alberts and Jervaeus 1990, Nilsson et al 1993, Kaehrle et al 2001) were entered into a logistic regression model, but only fracture type had a significant influence on risk of reoperation ( Figure 1) by a factor of 2.4 (1.5-3.8).…”

Section: Resultsmentioning

confidence: 99%

Outcome of undisplaced and moderately displaced femoral neck fractures

Bjørgul

Reikerås

2007

Acta Orthopaedica

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Background The optimal treatment for femoral neck fracture is a matter of controversy. We compared the outcome of displaced fractures with good healing potential (moderately displaced fractures) to the outcome of undisplaced fractures treated by internal fixation with 2 parallel screws.Methods In a consecutive series of hip fracture patients, the rates of reoperation and mortality for 225 undisplaced fractures were compared to those for 241 moderately displaced fractures. The patients were followed for 1-6 years.Results The total rate of reoperation was 19% (9% because of healing complications) for the undisplaced fractures and 33% (20% because of healing complications) for the moderately displaced fractures. Fracture displacement was the main predictor of reoperation. There was no difference in mortality between the groups, and patient-related background parameters (rather than fracture displacement) were the main predictors of mortality. Interpretation Undisplaced fractures should be treated by internal fixation. The best treatment for moderately displaced fractures remains to be determined.

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“…Previously, failures of osteosynthesis have been found to be correlated with fracture reduction (Alberts et al 1990, Wihlborg 1990. Such correlations were not found in the present study.…”

Section: Discussionmentioning

confidence: 99%

“…In the femoral neck fractures, osteoporosis has importance for the incidence in elderly patients (Heiseth et al 1990). Further, the blood circulation has prognostic importance (Stremquist 1983), as well as the quality of reduction (Alberts et al 1990).…”

mentioning

confidence: 99%