Stephen Gardner1, Michael J Weaver2, Seth Jerabek3, Edward Rodriguez4, Mark Vrahas5, Mitchel Harris2. 1. Kerlan-Jobe Orthopaedic Foundation, Kerlan-Jobe Orthopaedic Clinic, Los Angeles, CA, USA. 2. Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, MA, USA. 3. Department of Orthopedics, Hospital for Special Surgery, New York, NY, USA. 4. Department of Orthopedics, Beth Isreal Deaconess Hospital, Boston, MA, USA. 5. Department of Orthopaedics, Massachusetts General Hospital, Boston, MA, USA.
Abstract
INTRODUCTION: This study compares early failure rates of sliding hip screw (SHS) and cannulated screw (CS) constructs in young patients. METHODS: Patients <60 years of age, with displaced femoral neck fractures treated with CS or SHS fixation were included. Primary outcome was failure within 6 months. RESULTS: One patient (3%) with SHS fixation and 6 patients (21%) with CS fixation failed within 6 months (P = 0.04). Regression analysis demonstrated type of fixation (P = 0.005) and reduction quality (P = 0.04) are independent predictors of early failure. CONCLUSIONS: SHS constructs demonstrate a significantly lower short-term failure rate than CS constructs.
INTRODUCTION: This study compares early failure rates of sliding hip screw (SHS) and cannulated screw (CS) constructs in young patients. METHODS:Patients <60 years of age, with displaced femoral neck fractures treated with CS or SHS fixation were included. Primary outcome was failure within 6 months. RESULTS: One patient (3%) with SHS fixation and 6 patients (21%) with CS fixation failed within 6 months (P = 0.04). Regression analysis demonstrated type of fixation (P = 0.005) and reduction quality (P = 0.04) are independent predictors of early failure. CONCLUSIONS:SHS constructs demonstrate a significantly lower short-term failure rate than CS constructs.
Entities:
Keywords:
Complications; Femoral neck fracture; Predictors of failure; Young patients
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