LO SCALPELLO-OTODI Educational

, Volume 27, Issue 2, pp 45–48 | Cite as

Le fratture mediali del collo del femore: quando la sintesi

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Intracapsular femoral neck fractures: indications for internal fixation

Abstract

The main indications for internal fixation of intracapsular fractures are undisplaced and minimally displaced fractures and displaced intracapsular fractures in patients aged under seventy years. Closed reduction is to be preferred to open reduction. Different implants may have to be used, with current practice favouring two or three parallel cannulated cancellous screws. Attention to surgical details of fracture reduction and implant positioning will minimise the risk of complications.

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Notes

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Bibliografia

  1. 1.
    Yang JJ, Lin LC, Chao KH et al. (2013) Risk factors for nonunion in patients with intracapsular femoral neck fractures treated with three cannulated screws placed in either a triangle or an inverted triangle configuration. J Bone Jt Surg Am 95:61–69 CrossRefGoogle Scholar
  2. 2.
    Soohoo NF, Farng E, Chambers L et al. (2013) Comparison of complication rates between hemiarthroplasty and total hip arthroplasty for intracapsular hip fractures. Orthopedics 36:e384–e389 PubMedCrossRefGoogle Scholar
  3. 3.
    Gavaskar AS, Chowdary NT (2013) Valgus sliding subtrochanteric osteotomy for neglected fractures of the proximal femur; surgical technique and a retrospective case series. J Orthop Surg Res 8(1):4 PubMedCrossRefGoogle Scholar
  4. 4.
    Tarasevicius S, Robertsson O, Dobozinskas P, Wingstrand H (2013) A comparison of outcomes and dislocation rates using dual articulation cups and THA for intracapsular femoral neck fractures. Hip Int 23:22–26 PubMedCrossRefGoogle Scholar
  5. 5.
    Stoffel KK, Nivbrant B, Headford J et al. (2013) Does a bipolar hemiprosthesis offer advantages for elderly patients with neck of femur fracture? A clinical trial with 261 patients. ANZ J Surg 83:249–254 PubMedCrossRefGoogle Scholar
  6. 6.
    Raja S, Wordsworth D, Machin JT et al. (2013) Piriformis fossa approach in optimising femoral neck osteotomy and component positioning in hemiarthroplasty surgery for intracapsular fractured neck of femur. Ann R Coll Surg Engl 95:78–79 PubMedCrossRefGoogle Scholar
  7. 7.
    Jameson SS, Kyle J, Baker PN et al. (2012) Patient and implant survival following 4323 total hip replacements for acute femoral neck fracture: a retrospective cohort study using National Joint Registry data. J Bone Jt Surg Br 94:1557–1566 CrossRefGoogle Scholar
  8. 8.
    Chammout GK, Mukka SS, Carlsson T et al. (2012) Total hip replacement versus open reduction and internal fixation of displaced femoral neck fractures: a randomized long-term follow-up study. J Bone Jt Surg Am 94:1921–1928 CrossRefGoogle Scholar
  9. 9.
    Chesser TJ, Budnar VM, Acharya MR (2012) The role of total hip replacement in the treatment of displaced intracapsular hip fractures in the elderly. Injury 43:1621–1622 PubMedCrossRefGoogle Scholar
  10. 10.
    Razik F, Alexopoulos AS, El-Osta B et al. (2012) Time to internal fixation of femoral neck fractures in patients under sixty years—does this matter in the development of osteonecrosis of femoral head? Int Orthop 36:2127–2132 PubMedCrossRefGoogle Scholar
  11. 11.
    Hoelsbrekken SE, Opsahl JH, Stiris M et al. (2012) Failed internal fixation of femoral neck fractures. Tidsskr Nor Laegeforen 132:1343–1347 PubMedCrossRefGoogle Scholar
  12. 12.
    Forsh DA, Ferguson TA (2012) Contemporary management of femoral neck fractures: the young and the old. Curr Rev Musculoskelet Med 5:214–221 PubMedCrossRefGoogle Scholar
  13. 13.
    Van Embden D, Rhemrev SJ, Genelin F et al. (2012) The reliability of a simplified Garden classification for intracapsular hip fractures. Orthop Traumatol Surg Res 98:405–408 PubMedCrossRefGoogle Scholar
  14. 14.
    Talboys R, Pickup L, Chojnowski A (2012) The management of intracapsular hip fractures in the ‘young elderly’ internal fixation or total hip replacement? Acta Orthop Belg 78:41–48 PubMedGoogle Scholar
  15. 15.
    Naqvi SG, Iqbal S, Reynolds T et al. (2012) Is a lateral view essential in management of hip fracture? Eur J Radiol 81:3394–3396 PubMedCrossRefGoogle Scholar
  16. 16.
    Theodorides AA, Pollard TC, Fishlock A et al. (2011) Treatment of post-operative infections following proximal femoral fractures: our institutional experience. Injury 42(Suppl 5):28–34 CrossRefGoogle Scholar
  17. 17.
    Rawall S, Bali K, Upendra B et al. (2012) Displaced femoral neck fractures in the young: significance of posterior comminution and raised intracapsular pressure. Arch Orthop Trauma Surg 132:73–79 PubMedCrossRefGoogle Scholar
  18. 18.
    Weil YA, Khoury A, Zuaiter I et al. (2012) Femoral neck shortening and varus collapse after navigated fixation of intracapsular femoral neck fractures. J Orthop Trauma 26:19–23 PubMedCrossRefGoogle Scholar
  19. 19.
    Mir HR, Edwards P, Sanders R, Haidukewych G (2011) Results of cephallomedullary nail fixation for displaced intracapsular femoral neck fractures. J Orthop Trauma 25:714–720 PubMedCrossRefGoogle Scholar
  20. 20.
    Eberle S, Wutte C, Bauer C et al. (2011) Evaluation of risk for secondary fracture after removal of a new femoral neck plate for intracapsular hip fractures. J Orthop Trauma 25:721–725 PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2013

Authors and Affiliations

  1. 1.Divisione Ortopedia e TraumatologiaP.O. “V. Fazzi”LecceItaly

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