Treatment of displaced fractures of the femoral neck. Smith-Petersen osteosynthesis versus sliding-nail-plate osteosynthesis.
In a prospectively planned follow-up study 383 cases of displaced medial fractures of the femoral neck were allocated either to Smith-Petersen osteosynthesis or to sliding-nail-plate osteosynthesis. Two hundred and forty-nine cases were followed for more than 2 years. The two differently treated groups were alike. The results showed that sliding-nail-plate osteosynthesis was significantly superior to Smith-Petersen osteosynthesis. We recommend that Smith-Petersen osteosynthesis be abandoned.
D000328:Adult; D000368:Aged; D001858:Bone Nails / Q000009:adverse effects; D001860:Bone Plates / Q000009:adverse effects; D005265:Femoral Neck Fractures / Q000601:surgery*; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000295:instrumentation*; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D011897:Random Allocation