Treatment of Displaced Fractures of the Femoral Neck:Smith-Petersen Osteosynthesis versus Sliding-Nail-Plate Osteosynthesis

Abstract

In a prospectively planned follow-up study 383 cases of displaced medial fractures of the femoral neck were allocated either to Smith-Petersen osteosynthesis or to sliding-nail-plate osteosynthesis. Two hundred and forty-nine cases were followed for more than 2 years. The two differently treated groups were alike. The results showed that sliding-nail-plate osteosynthesis was significantly superior to Smith-Petersen osteosynthesis. We recommend that Smith-Petersen osteosynthesis be abandoned.

Fixation of femoral neck fractures: A four-flanged nail versus threaded pins in 200 cases

“…Initial displacement, the quality of reduction, the position of the fixation device, and the age of the patient were the most important factors predicting the outcome in this study, and this is in agreement with many other authors (Garden 1961, Barnes et al 1976, Frandsen and Andersen 1981, Skinner and Powles 1986, Elmerson et al 1988, Lindequist et al 1989. The type of fixation device can influence the outcome (Barnes et al 1976, Svenningson et al 1984, Stromquist et al 1984, Rehnberg and Olerud 1989, Lindequist et al 1989), but in this study, as well as in Elmerson's study (1988), there was no difference in healing complications between the nail and the pins.…”

“…The mortality in this study was 25 percent after 2 years, which is comparable to figures given by others (Frandsen and Andersen 1981, Stromquist et al 1984, Svenningsen et al 1984, Christie et al 1988, Elmerson et al 1988, Lindequist et al 1989, Rehnberg and Olerud 1989.…”

Internal fixation of femoral neck fractures: Compression screw compared with nail plate fixation

“…Varus positioning of the femoral head is commonly held to be a predisposing factor for failure of healing (Garden 1961, Barnes et al 1976, Frandsen & Andersen 1981. This was also confirmed by the present study.…”

Internal fixation of 410 cervical hip fractures: A randomized comparison of a single nail versus two hook-pins

“…Our results confirm that the most important factor predicting the outcome of the fracture was the degree of initial displacement (Garden 1961, 197 1, Barnes et al 1976, Frandsen and Andersen 1981, Elmerson et al 1988. Since the 1950s, the proportion of this type of fracture has increased in Malmo (Sembo 1988).…”

“…Since the 1950s, the proportion of this type of fracture has increased in Malmo (Sembo 1988). The complication rate in this study agrees with many others (Banks 1962, Garden 1971, Barnes et al 1976, Thorling 1980, Frandsen and Andersen 1981, Holmberg et al 1987, Elmerson et al 1988, Sernbo 1988), but not all-for instance, the results after LIH pinning of Stromqvist et al (1984) are better than ours. In undisplaced fractures, we had somewhat better results after LIH pinning; maybe the single-nail method can cause damage to the head of the femur (Stromqvist 1983).…”