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Targon® Femoral Neck for femoral-neck fracture fixation: lessons learnt from a series of one hundred and thirty five consecutive cases

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Abstract

Purpose

Internal fixation versus joint replacement for treating intracapsular hip fractures is still a major debate. The Targon® FN fixation concept is innovative; two small case series are promising. We present the first larger series.

Methods

We conducted prospective documentation of all Targon® FN cases since 2006. The implant was used for all undisplaced fractures, and for displaced fractures in patients of a biological age ≤60 years. Besides demographic data and fracture classification, we analysed infection, haematoma, implant perforation, nonunion and operative revision procedures.

Results

In 135 cases (mean age 71 years; average operation time 60 minutes; average hospital stay ten days), we found a surgical complication rate of 16.4 %. Conversion to joint replacement was necessary in 9.6 %. Complication rate was significantly higher in displaced fractures.

Conclusions

Our study confirms low general complication rates. However, implant perforation seems to be underestimated. Optimised reduction technique may help to reduce this complication.

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Authors and Affiliations

  1. Department of Trauma and Orthopaedic Surgery, Klinikum Nürnberg, Breslauer Strasse 201, Nürnberg, 90471, Germany

    Roland Biber, Matthias Brem & Hermann Josef Bail

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  1. Roland Biber
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  2. Matthias Brem
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  3. Hermann Josef Bail
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Correspondence to Roland Biber.

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Biber, R., Brem, M. & Bail, H.J. Targon® Femoral Neck for femoral-neck fracture fixation: lessons learnt from a series of one hundred and thirty five consecutive cases. International Orthopaedics (SICOT) 38, 595–599 (2014). https://doi.org/10.1007/s00264-013-2176-y

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  • DOI: https://doi.org/10.1007/s00264-013-2176-y

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