Results of dynamic hip-screw osteosynthesis for intracapsular fractures of the femoral neck.
Dynamic hip-screw osteosynthesis was carried out in 121 patients with fractures of the proximal femur and intracapsular fractures of the femoral neck. Five patients died (4%). The mean age of the 121 patients was 66.4 years, in the subcapital fracture group of 48 patients, the mean age was 58 years. In the 48 patients, treated for an intracapsular femoral neck fracture, good functional results were achieved in 36 patients (75%). Partial femoral head necrosis was seen in six patients. Fast and proper anatomic reduction and dynamic fixation with a central positioned hip-screw (sliding nail) for intracapsular femoral neck fractures, result in good fracture healing with a low incidence of segmental femoral head necrosis.
Hegge
H G
HG
Department of Surgery of the Free University Hospital, Amsterdam, The Netherlands.
Hatten
S
S
Patka
P
P
Van Mourik
J C
JC
Breederveld
R S
RS
D000293:Adolescent; D000328:Adult; D000368:Aged; D001863:Bone Screws / Q000009:adverse effects; D015331:Cohort Studies; D004434:Early Ambulation; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery*; D005271:Femur Head Necrosis / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000209:etiology; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000209:etiology; D011859:Radiography