Risk factors of fixation failure in basicervical femoral neck fracture: Which device is optimal for fixation?

Lee, Yong Seuk; Yoon, Byung‐Ho; Hwang, Ji Sup; Han, Yong; Kim, Ki Choul; Koo, Kyung Hoi

doi:10.1016/j.injury.2018.02.009

Cited by 31 publications

(45 citation statements)

References 38 publications

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“…19 Insertion of the screw into the femoral neck placed the screw in an unsatisfactory position (more superior lag screw placement) in the study by Watson et al., 7 but our orthopedic surgeons ensured that all screws were located upon the femoral calcar (inferior placement of the lag screw) and centrally on the lateral radiograph, and this increased the anchor strength, thus minimizing complications. 7 Although a comparative study was conducted by Lee et al., 22 the patients enrolled did not originate from the same period, and their rehabilitation protocol was more aggressive than ours. The average age of their patients was higher than that of our patients, which may be another reason for the differences in the prognosis.…”

Section: Discussionmentioning

confidence: 72%

Treatment of basicervical femoral neck fractures with proximal femoral nail antirotation

et al. 2019

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Objective A basicervical femoral neck fracture, which is located at the junction between the femoral neck and intertrochanteric region, is a rare type of fracture. The treatment effects for this type of fracture vary. The present retrospective study was performed to evaluate the clinical and radiological outcomes of proximal femoral nail antirotation and illustrate its effect on improving the clinical prognosis of basicervical femoral neck fractures. Methods Fourteen patients with two-part basicervical fractures underwent treatment with proximal femoral nail antirotation. Results The treatment exhibited a good effect on decreasing complications such as femoral neck shortening and screw protrusion. Improvements were also noted in the Harris hip score and other clinical prognostic factors. The patients were satisfied with the prognosis, although not all of them returned to their preinjury level of occupation or daily activities. Conclusion This research provides clinical data to support the treatment of basicervical femoral neck fractures with proximal femoral nail antirotation and contributes to our understanding of treatment selection in the clinical setting. Selection of the optimal fixation method and subsequent conservative rehabilitation plan will benefit patients with basicervical femoral neck fractures.

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Section: Discussionmentioning

confidence: 72%

Treatment of basicervical femoral neck fractures with proximal femoral nail antirotation

et al. 2019

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“…However, one of the least encountered fractures is basicervical fracture. These relatively rare fractures account for 1.8%-3.5% of all proximal femur fractures (2,4,23). In a 2-year period, 2207 patients were treated for proximal femur fractures in our institution and only 2.9% (n=64) had real basicervical fractures.…”

Section: Discussionmentioning

confidence: 97%

“…Therefore, these fractures have been considered to be in the borderline category. However, clinically and biomechanically, these fractures behave like intertrochanteric hip fractures, which are usually treated with sliding hip screw (SHS) or cephalomedullary nail (CMN) instead of hemiarthroplasty (2)(3)(4)(5).…”

Section: Introductionmentioning

confidence: 99%

“…There are very little data in the literature regarding the comparison of clinical outcomes of CMN and SHS used in basicervical fractures of the femur (10). There have been several studies of the biomechanical properties of CMN and SHS, which have not shown any clear superiority of either implant in the treatment of these fractures (4,9,13). The objective of this randomized, prospective study was to evaluate the rate of basicervical fractures of the femur and to compare outcomes and complications of the two different treatment methods of SHS and CMN.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Intramedullary and Extramedullary Fixation of Basicervical Fractures of the Femur in the Elderly: A Prospective Randomized Study

Ecevız¹,

Çevi̇k²,

Bulut³

2020

Haseki

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Basicervical fractures of the femur are a unique type of unstable hip fracture, usually treated with sliding hip screw (SHS) or cephalomedullary nail (CMN). The aim of this randomized, prospective study was to evaluate the outcomes and complications of the two different treatment methods, SHS and CMN, in the management of basicervical fractures of the femur in the elderly osteoporotic bones. Methods: Patients aged over 65 years, who presented to our clinic with basicervical fracture of the femur between January 2016 and January 2018, were included in the study. The permuted block randomization method was used to randomize the participants into groups. The patients were allocated to one of two groups treated via CMN (n=29) or SHS (n=27). Functional and radiological evaluations included mobility score, Harris Hip score, modified Barthel index, Singh index, tip-apex distance, and fracture settling. Results: Continuous improvement in the Barthel index was seen over the 12-month period in either group (p<0.05). The average mobility score was found to be decreased at the 6 th week follow-up visits in either group (p<0.05). The fracture settling measurements in SHS group was higher than in CMN group (p<0.01). Conclusion: The clinical and radiological outcomes of both CMN and SHS groups showed no superiority of one technique over the other in the treatment of basicervical fractures of the femur.

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“…Basicervical femoral fractures in studies of Massoud 3) , Chen et al 1) , and Kuokkanen 13) were defined as extracapsular fractures. Five studies defined basicervical fracture as a 2-part fracture 7,11,14,15,17) . Davis et al 12) did not mention the definition of a basicervical femoral fracture.…”

Section: Definition Of Basicervical Fracturementioning

confidence: 99%

Review on Basicervical Femoral Neck Fracture: Definition, Treatments, and Failures

et al. 2020

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Basicervical femoral neck fracture is an uncommon fracture that accounts for only 1.8% of all proximal femoral fractures. Previous studies have recommended that the choice of implant to treat this fracture should be similar to that of intertrochanteric fracture. However, in previous studies on basicervical fractures, the definition and treatment results of these fractures were different, and there were also debates on the implant that had to be used. Therefore, the purpose of this study was to review the studies that performed surgical treatment of basicervical femoral fractures and to assess the definition of basicervical fracture, the use of implants, and failure rates and clinical results. Study selection was based on the following inclusion criteria: (1) treatment outcome for basicervical femoral neck fracture was reported; and (2) dynamic hip screw, proximal femoral nail, or multiple screw fixation was used as treatment. PubMed Central, OVID MEDLINE, Cochrane Collaboration Library, Web of Science, EMBASE, and AHRQ databases were searched to identify relevant studies published up to March, 2020 with English language restriction. A total of 15 studies were included in this study. Differences were found in the definition of basicervical fracture, treatment results, rehabilitation protocol, and fixation failure rate. Definitions and treatment methods for basicervical fractures varied, and treatment outcomes also differed among the enrolled studies. Further research is needed that would be restricted to those fractures that conform to the definition of basicervical fracture.

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Risk factors of fixation failure in basicervical femoral neck fracture: Which device is optimal for fixation?

Cited by 31 publications

References 38 publications

Treatment of basicervical femoral neck fractures with proximal femoral nail antirotation

Treatment of basicervical femoral neck fractures with proximal femoral nail antirotation

Comparison of Intramedullary and Extramedullary Fixation of Basicervical Fractures of the Femur in the Elderly: A Prospective Randomized Study

Review on Basicervical Femoral Neck Fracture: Definition, Treatments, and Failures

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