Femoral Neck Fracture Fixation: Clinical Decision Making

Bray, Timothy J.

doi:10.1097/00003086-199706000-00004

Cited by 85 publications

(50 citation statements)

References 28 publications

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“…The implants that fit these criteria are cannulated screws and DHS, which we used in our study. [15,22,33,34] As Garden classification is based on displacement of the 176 fractures, it has a strong effect on decision-making about the treatment option and prognosis. [35,36] In both groups, type I fractures were detected frequently after falling on stairs and the relationship was significant statistically (p<0.05).…”

Section: Discussionmentioning

confidence: 99%

Comparative results of percutaneous cannulated screws, dynamic compression type plate and screw for the treatment of femoral neck fractures

Kaplan¹,

Akesen²,

Demirağ³

et al. 2012

Ulus Travma Acil Cerrahi Derg

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Section: Discussionmentioning

confidence: 99%

Comparative results of percutaneous cannulated screws, dynamic compression type plate and screw for the treatment of femoral neck fractures

Kaplan¹,

Akesen²,

Demirağ³

et al. 2012

Ulus Travma Acil Cerrahi Derg

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“…It is considered that various combinations of these many factors may result in a difference in the accuracy of bone scan in predicting osteonecrosis of the femoral head. In terms of time to surgery, conventionally, it is believed that shortening of injury-to-surgery interval can reduce fracture-induced osteonecrosis of the femoral head [16][17][18]. However, controversy still exists around the timing of such surgery in young patients.…”

Section: Discussionmentioning

confidence: 99%

Patterns of isotope uptake in sequential postoperative bone scan in undisplaced femoral-neck fractures

Yoon

Kim

Yoon

2013

International Orthopaedics (SICOT)

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Purpose We aimed to investigate the changing pattern of isotope uptake in the sequential bone scan test for the prediction of osteonecrosis of the femoral head in patients with an undisplaced femoral-neck fracture. Methods Fifty-four cases of sequential bone scan for nondisplaced femoral-neck fracture treated by internal fixation with cannulated screws between 2000 and 2009 were retrospectively studied. The mean follow-up period was 4.2 years. The first postoperative bone scan was performed two weeks postoperatively in all patients. Second, third, and fourth followup bone scans were performed at one to six months, 12-18 months, and 18-24 months postoperatively. Results Mean femoral-head ratio (FHR) in the first postoperative bone scan was 0.99. Although it was under 1.0 in 38 patients (70.4 % of the 54 patients), only one patient developed osteonecrosis of the femoral head. The others showed hot uptake in their second follow-up bone scan. Mean FHRs in the second, third, and fourth postoperative bone scans were 1.69, 1.29, and 1.05, respectively, and there were significant statistical differences in each follow-up period (P=0.035). In addition, there were unique patterns of isotope uptake with the passage of time, such as cold uptake in the early stage, hot uptake in a couple of months, and iso-uptake in the late stage.Conclusions Early postoperative bone scan results should not be over interpreted when predicting osteonecrosis of the femoral head.

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“…Em 1961, Garden (8) sugeriu que as forças compressivas atuam em forma espiral, na direção oblíqua e vertical sobre o quadril. Essas teorias já mostravam que seria lógico que a fratura do colo do fêmur deveria acompanhar as linhas de força que atuam nesta articulação (4) . Böhler (3) classifica as fraturas do colo do fêmur em abdução e adução, Pauwels (14) classifica quanto ao traço de fratura e Garden (7) quanto ao deslocamento.…”

Section: Discussionunclassified

“…In 1961, Garden (8) suggested that compressive forces act in spiral way, in the oblique and vertical direction upon the hip. These theories already could show that it would be logical that a neck fracture should follow the strength lines that act in this articulation (4) . Böhler (3) classifies the neck fractures in abduction and aduction, Pauwels (14) classifies according to the fracture line and Garden (7) considering the displacement.…”

Section: Discussionmentioning

confidence: 99%

A verdadeira fratura do colo do fêmur

Schwartsmann

Oliveira

et al. 2000

Acta ortop. bras.

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RESUMOCento e vinte e seis cabeças femorais retiradas durante artroplastias de quadril para tratamento de fraturas do colo do fêmur foram estudadas macroscopicamente e radiograficamente quanto ao traço de fratura e a existência de colo inferior que pode permanecer junto com a cabeça femoral.Chegou-se a conclusão que as fraturas do colo do fêmur obedecem a uma constância quanto ao traço de fratura, e que não existe a fratura subcapital verdadeira, pois em todos os casos analisados havia um fragmento de colo junto com a cabeça (esporão). INTRODUÇÃODevido a importância das fraturas de colo de fêmur, tanto pela sua freqüência quanto pela sua gravidade, existem inúmeras publicações sobre o assunto. Para classificar essas fraturas são citadas nos livros clássicos as classificações quanto ao deslocamento (GARDEN) (7) , quanto ao traço de fratura (PAUWELS) (14) e quanto a situação anatômica. A classificação anatômica, descrita nos livros texto de Rockwood (14) , WatsonJones (18)

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Femoral Neck Fracture Fixation: Clinical Decision Making

Cited by 85 publications

References 28 publications

Comparative results of percutaneous cannulated screws, dynamic compression type plate and screw for the treatment of femoral neck fractures

Comparative results of percutaneous cannulated screws, dynamic compression type plate and screw for the treatment of femoral neck fractures

Patterns of isotope uptake in sequential postoperative bone scan in undisplaced femoral-neck fractures

A verdadeira fratura do colo do fêmur

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