Femoral neck fractures. 165 cases treated by multiple percutaneous pinning.
A prospective series of 165 displaced subcapital fractures of the femoral neck treated with reduction and percutaneous multiple pinning is presented. The method offers the advantages of a short operating time, no loss of blood, immediate weight-bearing and no infection problems. Furthermore the operative procedure can be performed under local anaesthesia. In Garden stage 3 fractures union occurred in 97 per cent and late segmental collapse in 8 per cent. In Garden stage 4 fractures union occurred in 72 per cent and late segmental collapse in 14 per cent. Failures were almost exclusively encountered in the group of poorly reduced fractures which had a failure rate of 77 per cent. In the case of non-union 75 per cent of the patients needed a secondary hip replacement whereas only 16 per cent of the patients with late segmental collapse had received an arthroplasty at the time of the follow-up.
D000368:Aged; D005265:Femoral Neck Fractures / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D006617:Hip Dislocation / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D011379:Prognosis; D011446:Prospective Studies; D011859:Radiography; D014945:Wound Healing