Internal fixation of femoral neck fracture. No difference between the Rydell four-flanged nail and Gouffon's pins.
Two methods of internal fixation of femoral neck fractures were compared in a prospective randomized study of 223 patients. Radiographic evidence of early redisplacement, nonunion, or late segmental collapse occurred in 45 of 122 patients operated on with the Rydell four-flanged hook nail and in 33 of 101 patients operated on with Gouffon pins. According to the actuarial method of follow-up, the failure rates after 2 years were respectively 41 and 35 percent in the nail and pin groups, which is a nonsignificant difference.
Department of Orthopedics, Sahlgren Hospital, Gothenburg, Sweden.
S
S
Elmerson
G B
GB
Andersson
L
L
Irstam
C
C
Zetterberg
D000206:Actuarial Analysis; D000368:Aged; D001858:Bone Nails; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery*; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008297:Male; D011446:Prospective Studies; D011897:Random Allocation