Predictors of early failure in young patients with displaced femoral neck fractures

被引：48

作者：

Gardner, Stephen ^{[1
]}

Weaver, Michael J. ^{[2
]}

Jerabek, Seth ^{[3
]}

Rodriguez, Edward ^{[4
]}

Vrahas, Mark ^{[5
]}

Harris, Mitchel ^{[2
]}

机构：

[1] Kerlan Jobe Orthopaed Fdn, Kerlan Jobe Orthopaed Clin, Los Angeles, CA USA

[2] Brigham & Womens Hosp, Dept Orthoped Surg, 75 Francis St, Boston, MA 02115 USA

[3] Hosp Special Surg, Dept Orthoped, 535 E 70th St, New York, NY 10021 USA

[4] Beth Isreal Deaconess Hosp, Dept Orthoped, Boston, MA USA

[5] Massachusetts Gen Hosp, Dept Orthopaed, Boston, MA 02114 USA

来源：

JOURNAL OF ORTHOPAEDICS | 2015年 / 12卷 / 02期

关键词：

Femoral neck fracture; Complications; Predictors of failure; Young patients;

D O I：

10.1016/j.jor.2014.01.001

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Introduction: This study compares early failure rates of sliding hip screw (SHS) and cannulated screw (CS) constructs in young patients. Methods: Patients < 60 years of age, with displaced femoral neck fractures treated with CS or SHS fixation were included. Primary outcome was failure within 6 months. Results: One patient (3%) with SHS fixation and 6 patients (21%) with CS fixation failed within 6 months (P = 0.04). Regression analysis demonstrated type of fixation (P = 0.005) and reduction quality (P = 0.04) are independent predictors of early failure. Conclusions: SHS constructs demonstrate a significantly lower short-term failure rate than CS constructs. Copyright (C) 2014, Professor P K Surendran Memorial Education Foundation. Publishing Services by Reed Elsevier India Pvt. Ltd. All rights reserved.

引用

页码：75 / 80

页数：6

共 27 条

[1]

ALBERTS KA, 1990, CLIN ORTHOP RELAT R, P129

[2] Vertically oriented femoral neck fractures: Mechanical analysis of four fixation techniques [J].

Aminian, Arash ;

Gao, Fan ;

Fedoriw, Wasyl W. ;

Zhang, Li-Qun ;

Kalainov, David M. ;

Merk, Bradley R. .

JOURNAL OF ORTHOPAEDIC TRAUMA, 2007, 21 (08) :544-548

[3]

Baitner AC, 1999, CLIN ORTHOP RELAT R, P300

[4] Pauwels' classification of femoral neck fractures:: Correct interpretation of the original [J].

Bartonícek, J .

JOURNAL OF ORTHOPAEDIC TRAUMA, 2001, 15 (05) :358-360

[5] THE VALUE OF THE TIP-APEX DISTANCE IN PREDICTING FAILURE OF FIXATION OF PERITROCHANTERIC FRACTURES OF THE HIP [J].

BAUMGAERTNER, MR ;

CURTIN, SL ;

LINDSKOG, DM ;

KEGGI, JM .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1995, 77A (07) :1058-1064

[6] Optimal Internal Fixation for Femoral Neck Fractures: Multiple Screws or Sliding Hip Screws? [J].

Bhandari, Mohit ;

Tornetta, Paul, III ;

Hanson, Beate ;

Swiontkowski, Marc F. .

JOURNAL OF ORTHOPAEDIC TRAUMA, 2009, 23 (06) :403-407

[7] Predictors of early failure of fixation in the treatment of displaced subcapital hip fractures [J].

Chua, D ;

Jaglal, SB ;

Schatzker, J .

JOURNAL OF ORTHOPAEDIC TRAUMA, 1998, 12 (04) :230-234

[8] Challenges in the Treatment of Femoral Neck Fractures in the Nonelderly Adult [J].

Davidovitch, Roy I. ;

Jordan, Charles J. ;

Egol, Kenneth A. ;

Vrahas, Mark S. .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2010, 68 (01) :236-242

[9] COMPLICATIONS OF FEMORAL-NECK FRACTURE IN YOUNG-ADULTS [J].

DEDRICK, DK ;

MACKENZIE, JR ;

BURNEY, RE .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1986, 26 (10) :932-937

[10] Fixation of intracapsular fractures of the femoral neck in young patients RISK FACTORS FOR FAILURE [J].

Duckworth, A. D. ;

Bennet, S. J. ;

Aderinto, J. ;

Keating, J. F. .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2011, 93B (06) :811-816

← 1 2 3 →