Skip to main content

Advertisement

SpringerLink
Log in

Early fixation failure in displaced femoral neck fractures

  • Published:
Archives of orthopaedic and traumatic surgery Aims and scope Submit manuscript

Summary

A study of 76 displaced femoral neck fractures treated by reduction and Knowles pins or AO (ASIF) cancellous bone screws was carried out. Fixation failure within 3 months occurred in 17 cases (22%). Advanced age, inaccurate reduction, a poor mental state of the patient, the number of Knowles pins used, and the preinjury functional ability of the patient are significant risk factors for fixation failure. Neurological disease, the type of fracture according to Garden, delay before operation, and the method of fixation are not significantly related to fixation failure.

Zusammenfassung

Eine Studie über 76 verschobene Schenkelhalsbrüche, behandelt durch Reduktion und Knowlesstiften oder AO (ASIF) Spongiosaschrauben wurde durchgeführt. Instabilitätsprobleme in den ersten 3 Monaten gab es in 17 Fällen (22%). Hohes Alter, unzureichende Reduktion, schlechter mentaler Zustand, die Anzahl der Knowlesstifte, sowie der prätraumatische funktionelle Status sind signifikante Risikofaktoren i. B. a. Instabilität der Osteosynthese. Neurologische Erkrankung, Frakturtyp nach Garden, Zeitspanne vor der Operation, und die Wahl der Osteosynthese sind nicht signifikant i. B. a. Instabilitat der Osteosynthese.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Barnes R, Brown JT, Garden RS, Nicoll EA (1976) Subcapital fractures of the femur—a prospective review. J Bone Joint Surg [Br] 58:2–24

    Google Scholar 

  2. Brown TIS, Court-Brown C (1979) Failure of sliding nailplate fixation in subcapital fractures of the femoral neck. J Bone Joint Surg [Br] 61:342–346

    Google Scholar 

  3. Deyerle WM (1980) Impacted fixation over resilient multiple pins. Clin Orthop 152:102–122

    Google Scholar 

  4. Dixon WJ (ed) (1981) BMDP statistical software. University of California Press, Berkeley

    Google Scholar 

  5. Dorr LD (1981) Treatment of hip fractures in elderly and senile patients. Orthop Clin North Am 12:153–163

    Google Scholar 

  6. Duquennoy A, Fontaine C, Gougeon F, Decoulx J (1982) Notre expérience de l'ostéosynthèse des fractures cervicales vraies par la vis-plaque D.K.P.—a propos de 125 cas. Rev Chir Orthop 68:487–496

    Google Scholar 

  7. Frandsen PA, Andersen PE Jr (1981) Treatment of displaced fractures of the femoral neck. Smith-Petersen osteosynthesis versus sliding-nail-plate osteosynthesis. Acta Orthop Scand 52:547–552

    Google Scholar 

  8. Garden RS (1961) Low-angle fixation in fractures of the femoral neck. J Bone Joint Surg [Br] 43:647–663

    Google Scholar 

  9. Garden RS (1974) Reduction and fixation of subcapital fractures of the femur. Orthop Clin North Am 5:683–712

    Google Scholar 

  10. Høgh J, Jensen J, Lauritzen J (1982) Dislocated femoral neck fractures. A follow-up study of 98 cases treated by multiple AO (ASIF) cancellous bone screws. Acta Orthop Scand 53:245–249

    Google Scholar 

  11. Kofoed H, Alberts A (1980) Femoral neck fractures. 165 cases treated by multiple percutaneous pinning. Acta Orthop Scand 51:127–136

    Google Scholar 

  12. London PS (1977) Internal fixation of fractures of the neck of the femur and results. In: The hip, Proc Fifth Open Scientific Meeting of the Hip Society, Mosby, St Louis, pp 44–52

    Google Scholar 

  13. Martens M, van Audekercke R, Mulier JC, Stuyck J (1979) Clinical study on internal fixation of femoral neck fractures. Clin Orthop 141:199–202

    Google Scholar 

  14. McCutchen JW, Carnesale PG (1982) Comparison of fixation in the treatment of femoral neck fractures. Clin Orthop 171:44–50

    Google Scholar 

  15. Miyagi S, Yamanaka K (1979) Results of internal fixation for intracapsular fractures of the femoral neck. Karume Med J 26:125–134

    Google Scholar 

  16. Rubin R, Trent P, Arnold W, Burstein A (1981) Knowles pinning of experimental femoral neck fractures. A biomechanical study. J Trauma 21:1036–1039

    Google Scholar 

  17. Rydell NW (1966) Forces acting on the femoral head prosthesis. A study on strain-gauge-supplied prostheses in living persons. Acta Orthop Scand [Suppl] 88

  18. Schwarz N (1982) Die Verschraubung subkapitaler Schenkelhalsbrüche. Drei-Jahres-Ergebnisse. Hefte Unfallheilkd 85:457–463

    Google Scholar 

  19. Søreide O, Mølster A, Raugstad TS, Olerud S (1979) Internal fixation of fractures of the neck of the femur using von Bahr screws and allowing immediate weight bearing. A prospective clinical study. Injury 10:239–244

    Google Scholar 

  20. Stappaerts K (1982) Evaluatie van de behandelingsresultaten na mediale femurhalsfracturen. Dissertation, University of Leuven, Belgium

    Google Scholar 

  21. van Audekercke R, Martens M, Mulier JC, Stuyck J (1979) Experimental study on internal fixation of femoral neck fractures. Clin Orthop 141:203–212

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Physical Rehabilitation, University Hospitals of Leuven and Biomedical Kinanthropology Unit, Institute of Physical Education, University of Leuven, Belgium

    K. H. Stappaerts

Authors
  1. K. H. Stappaerts
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Stappaerts, K.H. Early fixation failure in displaced femoral neck fractures. Arch. Orth. Traum. Surg. 104, 314–318 (1985). https://doi.org/10.1007/BF00435949

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00435949

Keywords

Search

Navigation