Summary
One hundred fractures of the neck of the femur, Garden stage III or IV, were treated with Gouffon pins during a three year period. Seventy-nine were followed from 24 to 52 months. Union occurred in 59 fractures. Eighteen fractures did not unite and 2 became redisplaced within the first week. Avascular necrosis was noted on radiographs in 14 of the 59 united fractures. A higher pin migration rate was found in Garden stage IV fractures, and in the failures.
Résumé
Cent fractures du col du fémur de degré Garden III ou IV ont été traitées par broches de Gouffon pendant une période de trois ans. Soixante-dix-neuf ont été suivies de 24 à 52 mois. La consolidation a été obtenue dans 59 cas. Dixhuit fractures n'ont pas consolidé et deux se sont redéplacées au cours de la première semaine. Une image radiologique de nécrose de la tête fémorale a été notée dans 14 des 59 fractures consolidées. La migration des broches s'est montrée particulièrement fréquente dans les fractures de degré IV de Garden et dans les échecs.
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Gebuhr, P., Klareskov, B., Hovgaard, C. et al. Displaced femoral neck fractures treated with the Gouffon pin. International Orthopaedics 15, 139–141 (1991). https://doi.org/10.1007/BF00179713
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DOI: https://doi.org/10.1007/BF00179713