Abstract
The results and the related conditions of 250 undisplaced femoral neck fractures managed by percutaneous Knowles pinning were evaluated. All of the patients were over 59 years old, and the protocol of management and follow-up was determined prospectively. The duration from injury to management was 3.0 (range 1–12) days, the operation time was 20 (range 10–44) min, and most of the patients were discharged without hospitalization. The follow-up period was 74 (range 24–138) months. The final results showed 226 (90.4%) fractures with smooth course of union (mean union time: 24 weeks), 15 (6.0%) fractures with nonunion, and 9 (3.6%) fractures with implant problems. Eighteen (7.2%) hips developed avascular necrosis of femoral head after union. The analysis showed that the rate of complications was higher in elderly persons with undisplaced femoral neck fractures.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Anderson B, Ostberg J (1972) Long-term prognosis in geriatric surgery: 2 to 17 year follow up of 7922 patients. J Am Geriatr Soc 20:255–258
Arnold WD, Lynden JP, Mynkoff J (1974) Treatment of intracapsular fracture of the femoral neck. J Bone Joint Surg [Am] 56:254–262
Bentley G (1968) Impacted fractures of the neck of the femur. J Bone Joint Surg [Br] 50:551–561
Bentley G (1980) Treatment of nondisplaced fractures of the femoral neck. Clin Orthop 152:93–101
Holmberg S, Kalen R, Thorngren KG (1987) Treatment and outcome of femoral neck fractures. Clin Orthop 218:42–51
Husby T, Alho A, Nordsletten L, Bugge W (1989) Early loss of fixation in femoral neck fractures: comparison of three devices in 244 cases. Acta Orthop Scand 60:69–72
Parker MJ, Anand JK (1992) Cost-benefit analysis of hip fractures. J Bone Joint Surg [Br] 74:261–264
Raaymakers ELBF, Marti RK (1991) Nonoperative treatment of impacted femoral neck fractures: a prospective study of 170 cases. J Bone Joint Surg [Br] 73:950–954
Robinson CM, Saran D, Annan IH (1994) Intracapsular hip fractures. Clin Orthop 302:83–91
Shih CH, Wang KC (1991) Femoral neck fracture. Clin Orthop 272:195–200
Skinner P, Riley D, Ellery J, Beaumont A, Coumine R, Shafighian B (1989) displaced subcapital fractures of femur: a prospective randomized comparison of internal fixation, hemiarthroplasty and total hip replacement. Injury 20:291–293
Soreide O, Molster A, Raugstad TS (1979) Internal fixation versus primary prosthesis replacement in acute femoral neck fractures: a prospective, randomized clinical study. Br J Surg 66:56–60
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Chiu, F.Y., Lo, W.H. Undisplaced femoral neck fracture in the elderly. Arch Orthop Trauma Surg 115, 90–93 (1996). https://doi.org/10.1007/BF00573448
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00573448