Intracapsular fractures of the femoral neck in younger patients.

Abstract:

BACKGROUND:Most femoral neck fractures in younger patients have a different mechanism, treatment, and prognosis from those in elderly patients. AIMS:To evaluate the results of internal fixation of femoral neck fractures in patients aged between 20 and 60 years, and to determine reasons for failure. PATIENTS AND METHODS:Thirty three patients aged between 20 and 60 years who sustained a femoral neck fracture between 1995 and 2000 were reviewed. This represents 5.6% of the total femoral neck fractures admitted to the unit during this period. RESULTS:In 26 patients (78.8%) the fracture resulted from higher energy trauma. Of 23 patients with displaced fractures four patients (17.4%) developed avascular necrosis and one patient (4.3%) developed non-union. Factors influencing outcome were mechanism of injury, pre-operative fracture displacement, adequacy of fracture reduction and delay in surgery. CONCLUSION:Our study emphasises the importance of timely surgery and adequate reduction of displaced femoral neck fractures in younger patients.

journal_name

Ir J Med Sci

authors

Farooq MA,Orkazai SH,Okusanya O,Devitt AT

doi

10.1007/BF03168981

keywords:

subject

Has Abstract

pub_date

2005-10-01 00:00:00

pages

42-5

issue

4

eissn

0021-1265

issn

1863-4362

journal_volume

174

pub_type

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