Kristian Bjørgul1, Olav Reikerås. 1. Department of Orthopaedics, Østfold Hospital, Fredrikstad, Norway. kristianb@halden.net
Abstract
BACKGROUND: The optimal treatment for femoral neck fracture is a matter of controversy. We compared the outcome of displaced fractures with good healing potential (moderately displaced fractures) to the outcome of undisplaced fractures treated by internal fixation with 2 parallel screws. METHODS: In a consecutive series of hip fracture patients, the rates of reoperation and mortality for 225 undisplaced fractures were compared to those for 241 moderately displaced fractures. The patients were followed for 1-6 years. RESULTS: The total rate of reoperation was 19% (9% because of healing complications) for the undisplaced fractures and 33% (20% because of healing complications) for the moderately displaced fractures. Fracture displacement was the main predictor of reoperation. There was no difference in mortality between the groups, and patient-related background parameters (rather than fracture displacement) were the main predictors of mortality. INTERPRETATION: Undisplaced fractures should be treated by internal fixation. The best treatment for moderately displaced fractures remains to be determined.
BACKGROUND: The optimal treatment for femoral neck fracture is a matter of controversy. We compared the outcome of displaced fractures with good healing potential (moderately displaced fractures) to the outcome of undisplaced fractures treated by internal fixation with 2 parallel screws. METHODS: In a consecutive series of hip fracturepatients, the rates of reoperation and mortality for 225 undisplaced fractures were compared to those for 241 moderately displaced fractures. The patients were followed for 1-6 years. RESULTS: The total rate of reoperation was 19% (9% because of healing complications) for the undisplaced fractures and 33% (20% because of healing complications) for the moderately displaced fractures. Fracture displacement was the main predictor of reoperation. There was no difference in mortality between the groups, and patient-related background parameters (rather than fracture displacement) were the main predictors of mortality. INTERPRETATION: Undisplaced fractures should be treated by internal fixation. The best treatment for moderately displaced fractures remains to be determined.
Authors: L Henry Goodnough; Harsh Wadhwa; Andrew T Fithian; Malcolm R DeBaun; Sean T Campbell; Michael J Gardner; Julius A Bishop Journal: Eur J Orthop Surg Traumatol Date: 2020-07-24
Authors: Donavan K Murphy; Timmothy Randell; Kindyle L Brennan; Robert A Probe; Michael L Brennan Journal: Clin Orthop Relat Res Date: 2013-05-03 Impact factor: 4.176