Femoral Neck Fractures in Young Adults

Abstract

A total of 110 fractures of the neck of femur were studied in 108 patients 17 to 50 years old. The aims were to analyze why these fractures occur in young adults, and what results can be expected after internal fixation. Severe trauma caused about half of the fractures. In the remaining group chronic and disabling disorders were usually present at the time of injury. Seventeen patients were known to abuse alcohol. Aseptic necrosis with late segmental collapse occurred in 41 per cent of the hips (45/110), comparatively more often in patients who were 45 years or younger. Only 16 of the 73 patients who were seen at follow-up (22 per cent) had a perfect result. It is concluded that femoral neck fractures in patients younger than 45 years occur because of significant trauma in a healthy subject, or minor trauma in subject with predisposing disease. The incidence of late segmental collapse is greater than in elderly patients with femoral neck fractures. A less satisfactory result can therefore be expected.

Sliding screw-plate for fixation of femoral neck fracture

“…When taking into account, however, the uneven Garden stage distribution in relation to age, the relation between necrosis and age, disappeared (p < 0.3, Cochran's three-way test). A possible explanation could be that the severity of the initial trauma, capable of breaking the femoral neck, is much higher in young people than in the elderly, and so severe that it often results in a dislocated fracture, as also stated by Zetterberg et al (1982).…”

Primary management of fracture of femoral neck in young adults using Valgus Osteotomy and fixation with Dynamic hip screw and plate: A case series

“…Femoral neck fractures in young adults are associated with higher incidences of femoral head osteonecrosis 4,[6][7][8] and nonunion. 4,6,9,10 The rate of osteonecrosis reported in the literature ranges from 12-86% in young patients after femoral neck fracture.…”

“…Osteosynthesis and primary valgus angulation osteotomy is one of them. [3][4][5][6][7][8] The indications and the place of this procedure, in the management of adult recent femoral neck fracture is yet not clearly defined. We present outcome of an easy-toperform, cost-effective technique in a consecutive series of recent intracapsular fracture neck of femur in young adults.…”

Results of Delayed Fixation of Displaced Femoral Neck Fractures in Adults: A Retrospective Clinical Study

“…4,5 But other variables such as use of closed or open reduction, 8,9,15,16,17 the role of capsulotomy, [11][12][13]17 timing of surgery [4][5][6][7][8][9][10] and age group 60-70 years 17 still remains controversial. The method of fixation remains a less controversial variable.…”

“…Reported rates of non-union ranges from 6 to 59% and reported rates of avascular necrosis ranges from 12% to 86%. [1][2][3][4] Variables that have been postulated to affect the outcome include quality of reduction or fixation of the fracture 3,5,6, timming of surgery [4][5][6][7][8][9][10] and elevated intracapsular pressure. [11][12][13] Variables which are not in control of surgeon includes vascular damage from initial neck fracture, fracture classification, 14 quality of bone and posterior communition 9 and delay in seeking medical attention.…”