title: [Follow-up results of osteosynthesis of medial femoral neck fractures with the dynamic hip screw].
abstract: The operative treatment of subcapital femoral neck fractures of stages Garden III and IV in the young patient is still a problem. The current methods of osteosynthesis show a high rate of avascular necrosis of the femoral head. We controlled 24 patients with subcapital femoral neck fracture, who were treated with a dynamic hip screw (DHS). The average age of these patients is 55 years. They were examined after 30-89 months from the operation. All patients were assessed regarding clinical and radiological parameters. All of the six patients with femoral neck fractures of stages Garden I and II had no pain, their clinical results were good. In one of these patients we found a partial avascular necrosis of the femoral head. Four out of the 18 patients with femoral neck fractures of stages Garden III and IV had painful complications, 3 of them needed a reoperation. Fourteen patients of the group with femoral neck fractures of stages Garden III and IV had no pain and wer satisfied with the result. But in this group we found 7 patients with partial avascular necrosis of the femoral head. These results are discussed and compared with data published elsewhere.
authors.affiliation: Chirurgische Klinik, Kantonsspital Luzern.
authors.forename: M
authors.initials: M
authors.lastname: Peterhans
authors.forename: M
authors.initials: M
authors.lastname: von Flüe
authors.forename: J
authors.initials: J
authors.lastname: Hildell
authors.forename: B
authors.initials: B
authors.lastname: Vogt
mesh_terms: D001863:Bone Screws; D005260:Female; D005265:Femoral Neck Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005271:Femur Head Necrosis / Q000000981:diagnostic imaging; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D011859:Radiography; D012189:Retrospective Studies; D014945:Wound Healing / Q000502:physiology
vernacular_title: Spätresultate nach Osteosynthese medialer Schenkelhalsfrakturen mit der dynamischen Hüftschraube.