Operative Treatment of Femoral Neck Fractures in Patients Between the Ages of Fifteen and Fifty Years

Haidukewych, George J.; Rothwell, Walter S.; Jacofsky, David J.; Torchia, Michael E.; Berry, Daniel J.

doi:10.2106/00004623-200408000-00015

Cited by 360 publications

(303 citation statements)

References 16 publications

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“…The association of these indicators with coxarthrosis, however, remains unclear. Treating physicians should strive for anatomic reduction and stable fixation [13,22]. Surgeons should also be aware that impingement may be a cause of hip pain in patients who have been treated for these injuries because a number of surgical treatments for femoral acetabular impingement have been reported to give good symptomatic relief and improved function [2,5,18,20,21].…”

Section: Discussionmentioning

confidence: 99%

Incidence of Radiographic Cam-Type Impingement in Young Patients (<50) After Femoral Neck Fracture Treated with Reduction and Internal Fixation

2013

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Background: Cam-type femoral impingement is caused by structural abnormalities of the hip and is recognized as a cause of degenerative hip arthritis. Identifiable etiologies of this structural abnormality include congenital malformation, pediatric hip disease, and malunion of femoral neck fractures after internal fixation. Purpose: The purpose of this study was to determine the prevalence of radiographic impingement in healed Orthopaedic Trauma Association (OTA) type 31B fractures treated with reduction and internal fixation. Methods: Seventy OTA 31B hip fractures treated with internal fixation were identified from our institutional trauma database and radiographs were retrospectively reviewed for signs of impingement. Mean follow-up was 53 months after fracture. Alpha angle, Mose templates, and femoral head retroversion were the measurements used to determine impingement. Results: The overall prevalence of any sign of radiographic impingement was 75%. Alpha angle was elevated in 32 hips (46%), asphericity was present in 46 femoral heads (65%), and femoral head retroversion was present in 26 hips (37%). The rates were highest in displaced subcapital fractures (OTA 31B-3) with a 63%

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Section: Discussionmentioning

confidence: 99%

Incidence of Radiographic Cam-Type Impingement in Young Patients (<50) After Femoral Neck Fracture Treated with Reduction and Internal Fixation

2013

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“…Four thousand six hundred forty-four patients with evidence of preoperative infection, preoperative sepsis, or who had incomplete perioperative data were excluded. Because the mechanism of sustaining a hip fracture is distinct in younger cohorts compared with elderly patients [12,16], 1213 individuals younger than 65 years were excluded to ensure a more homogenous population of hip fractures. We therefore included 9938 patients in our study (Fig.…”

Section: Participants and Study Subjectsmentioning

confidence: 99%

Diabetes Confers Little to No Increased Risk of Postoperative Complications After Hip Fracture Surgery in Geriatric Patients

Golinvaux

Bohl

Basques

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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“…[19] found that timing of surgery had no influence on the rates of AVN in patients treated by reduction and fixation up to seven days after injury. Haidukewych et al [20] reported that in their series of 73 femoral-neck fractures in young patients, the rate of osteonecrosis was not statistically different between those treated within 24 hours from the time of diagnosis (24 %) and those treated over 24 hours from the time of diagnosis (20 %). In contrast to these findings, Jain et al [21] compared early fixation (within 12 hours of injury) to delayed fixation (more than 12 hours) and recorded an incidence of AVN in 16 % of the delayed group compared with none in the early fixation group.…”

Section: Discussionmentioning

confidence: 94%

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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Operative Treatment of Femoral Neck Fractures in Patients Between the Ages of Fifteen and Fifty Years

Cited by 360 publications

References 16 publications

Incidence of Radiographic Cam-Type Impingement in Young Patients (<50) After Femoral Neck Fracture Treated with Reduction and Internal Fixation

Incidence of Radiographic Cam-Type Impingement in Young Patients (<50) After Femoral Neck Fracture Treated with Reduction and Internal Fixation

Diabetes Confers Little to No Increased Risk of Postoperative Complications After Hip Fracture Surgery in Geriatric Patients

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

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