Abstract
Background
Most femoral neck fractures in younger patients have a different mechanism, treatment, and prognosis from those in elderly patients.
Aims
To evaluate the results of internal fixation of femoral neck fractures in patients aged between 20 and 60 years, and to determine reasons for failure.
Patients and Methods
Thirty three patients aged between 20 and 60 years who sustained a femoral neck fracture between 1995 and 2000 were reviewed. This represents 5.6% of the total femoral neck fractures admitted to the unit during this period.
Results
In 26 patients (78.8%) the fracture resulted from higher energy trauma. Of 23 patients with displaced fractures four patients (17.4%) developed avascular necrosis and one patient (4.3%) developed non-union. Factors influencing outcome were mechanism of injury, pre-operative fracture displacement, adequacy of fracture reduction and delay in surgery.
Conclusion
Our study emphasises the importance of timely surgery and adequate reduction of displaced femoral neck fractures in younger patients.
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References
Hedlund R, Lindgren U, Ahlbom A. Age- and sex-specific incidence of femoral neck and trochanteric fractures. An analysis based on 20538 fractures in Stockholm county, Sweden, 1972–1981.Clin Orthop 1987; 222: 132–139.
Harris WH. Traumatic arthritis of hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end result study using a new method of result evaluation.J. Bone and Joint Surg. 1969; 51-A: 737–755.
Garden RS. Low-angle fixation in fractures of the femoral neck.J. Bone and Joint Surg. 1961;43-B: 647–663.
Protzman RR, Burkhalter WE. Femoral neck fractures in young adults.J. Bone and Joint Surg. 1977; 59-A: 869–874.
Calandruccio RA, Anderson WE III. Post fracture avascular necrosis of the femoral head: correlation of experimental and clinical studies.Clin. Orthop. 1980; 152: 49–84.
Sevitt S. Avascular necrosis and revascularization of the femoral head after intracapsular fractures. A combined arteriographic and histological necropsy study.J. Bone and Joint Surg. 1964; 46-B(2): 270–296.
Bray TJ, Templeman DC. Fractures of the femoral neck. In Chapman M.W.(ed): Operative Orthopaedics, p.p. 341–352, J.B.Lippincott, 1988.
Tooke MT, Favero KJ. Femoral neck fractures in skeletally mature patients, Fifty five years old or less.J. Bone and Joint Surg. 1985; 67-A: 1255–1260.
Pauwels F. Der Schenkenholsbruck, em mechanisches Problem. Grundlagen des Heilungsvorganges. Prognose und kausale Therapie.Stuttgart, Beilageheft zur Zeitschrift fur Orthopaedische Chirurgie, Ferdinand Enke, 1935.
Swiontkowski MF, Winquist RA, Hansen ST. Fractures of the femoral neck in patients between the ages of twelve and forty nine years.J. Bone and Joint Surg. 1984; 66-A: 837–846.
Upadhyay A, Jain P, Mishra P, Maini L, Gautum VK, Dhaon BK. Delayed internal fixation of fractures of the neck of the femur in young adults.J Bone and Joint Surg (Br) 2004; 86(7): 1035–40.
Cave EF. Fractures of the femoral neck. Instr. Course Lect.1960; 17: 79–93.
Muller ME, Allgower M, Schneider R, Willenegger H.Manual der Osteosynthese, 2nd Ed. 1979; Heidelberg: Springer Verlag.
Asnis SE, Wanek-Sgaglione L. Intracapsular fractures of the femoral neck: Results of the cannulated screw fixation.J.Bone and Joint Surg. 1974; 76-A: 1793–1803.
Bout CA, Cannegieter DM, Juttmann JW. Percutaneous cannulated screw fixation of femoral neck fractures: the three point principle.Injury 1997; 28(2): 135–139.
Rehnberg L, Olerud C. Subchondra! fixation for femoral neck fractures.J Bone and Joint Surg.(Br) 1989; 71-6: 178–180.
Parker MJ, Porter KM, Eastwood DM, Schembi Wismayer M, Bernard AA. Intracapsular fractures of the femoral neck. Parallel or crossed garden screws?J. Bone and Joint Surg.(Br) 1991;73(5): 826–827,1991.
Parker MJ. Prediction of fracture union after internal fixation of intracapsular femoral neck fractures.Injury: 25Suppl.2, S-B3–S-B6.
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Farooq, M.A., Orkazai, S.H., Okusanya, O. et al. Intracapsular fractures of the femoral neck in younger patients. Ir J Med Sci 174, 42–45 (2005). https://doi.org/10.1007/BF03168981
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DOI: https://doi.org/10.1007/BF03168981