Early prediction of avascular necrosis of the femoral head following femoral neck fractures.
The treatment of acute fracture of the femoral neck remains an unsolved problem. Fifty-three patients are presented using 99mTc phosphate scintigraphy with quantitative computer interpretation to predict the viability of the femoral head following acute fracture. The accuracy of prediction was 92.5%; the scans were incorrect in four patients. Armed with a safe, simple diagnostic procedure and a greater than 90% accurate prognosis, a rational program of treatment can be prescribed for the individual patient.
D000293:Adolescent; D000328:Adult; D000368:Aged; D016025:Bone Transplantation; D003201:Computers; D011756:Diphosphates; D004164:Diphosphonates; D005260:Female; D005265:Femoral Neck Fractures / Q000150:complications*; D005270:Femur Head / Q000098:blood supply / Q000000981:diagnostic imaging; D005271:Femur Head Necrosis / Q000000981:diagnostic imaging* / Q000209:etiology; D005592:Fracture Fixation; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011122:Polyphosphates; D011859:Radiography; D011877:Radionuclide Imaging; D013667:Technetium; D017556:Technetium Compounds; D016698:Technetium Tc 99m Pyrophosphate
D011756:Diphosphates; D004164:Diphosphonates; D011122:Polyphosphates; D017556:Technetium Compounds; C009835:technetium Tc 99m polyphosphate; D016698:Technetium Tc 99m Pyrophosphate; D013667:Technetium; C029045:technetium Tc 99m diphosphonate