Treatment of basicervical femoral neck fractures with proximal femoral nail antirotation

Abstract

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.

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

“…Guo et al 16) (2019) A basicervical femoral neck fracture, which is located at the junction between the femoral neck Not mentioned.…”

“…However, Massoud 3) have suggested that an anti-rotational screw should be added to control rotational instability after surgery because the lag screw has potential to rotate the rotationally unstable femoral head during its insertion. Authors of recent reports included in this study argue that the antirotational effect of implant should be taken into account when selecting an implant for the fixation of these rotationally unstable fractures [14][15][16][17][18][19] .…”

“…16.5 (14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24) 80 (68-88) From the first postoperative day, all patients started weight-bearing walking as tolerable with a walker.…”

“…19.6 (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28) 84.9 (65-99) Not mentioned.…”

“…Su et al 11) conversion to hip arthroplasty. To determine a collapse of 18/69 (collapse) mentioned.fracture site, the sliding distance of fracture site through hip screw or blade was measured, and a collapse of more than 5 mm was defined as collapse of fracture site.Guo et al16) shortening, screw protrusion, screw cutout, nonunion (defined as a fracture with no sign of (Continued to the next page)…”