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High secondary displacement rate in the conservative treatment of impacted femoral neck fractures in 105 patients

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Abstract

Introduction

The purpose of this retrospective study was to evaluate the dislocation rate after the conservative treatment of impacted femoral neck fractures in four hospitals with the same treatment protocol of partial weight-bearing when tolerated.

Patients and methods

We reviewed the records of 105 patients (mean age 78 years) with an impacted femoral neck fracture, all primarily treated conservatively. Patient demographics, ASA classification and radiographic features were scored.

Results

Secondary displacement occurred in 48 patients (46%). There was no significant correlation (p>0.05) between gender, age, ASA classification or Pauwels angle and secondary displacement.

Conclusion

In our group of patients, secondary displacement was frequent and unpredictable.

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Acknowledgements

We thank R.D. van den Hoed, radiologist, for his evaluation of the radiographs; J.R. van Horn and P.H. Wiersma for permission to use their patient records and radiographs. This study is compliant with the current laws in the Netherlands. No funds have been received to support this study.

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Authors and Affiliations

  1. Isala Clinics, Department of Orthopaedic Surgery and Traumatology, Weezenlanden Hospital, Zwolle, The Netherlands

    Cees C. P. M. Verheyen & Tom C. Smulders

  2. Department of Surgery, Medical Spectrum Twente, Enschede, The Netherlands

    Ariaan D. P. van Walsum

  3. P.O. Box 10500, 8000 GM, Zwolle, The Netherlands

    Cees C. P. M. Verheyen

Authors
  1. Cees C. P. M. Verheyen
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  2. Tom C. Smulders
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  3. Ariaan D. P. van Walsum
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Corresponding author

Correspondence to Cees C. P. M. Verheyen.

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Verheyen, C.C.P.M., Smulders, T.C. & van Walsum, A.D.P. High secondary displacement rate in the conservative treatment of impacted femoral neck fractures in 105 patients. Arch Orthop Trauma Surg 125, 166–168 (2005). https://doi.org/10.1007/s00402-004-0791-1

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  • DOI: https://doi.org/10.1007/s00402-004-0791-1

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