Fixation of intracapsular femoral neck fractures with a one-hole plate dynamic hip screw.
The results of internal fixation of 55 subcapital fractures of the femoral neck with a one-hole plate dynamic hip screw are presented. Two fractures could not be satisfactorily fixed and the procedures were converted to hemi-arthroplasties, but the remainder united within 6 months. The rate of avascular necrosis after union was 3 per cent in undisplaced and 31 per cent in displaced fractures. This method of fixation appears to produce a lower non-union rate than multiple pins in suitable fractures without affecting the incidence of late avascular necrosis.
Heyse-Moore
G H
GH
Department of Orthopaedic Surgery, James Paget Hospital, Gorleston, Great Yarmouth, UK.
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001860:Bone Plates; D001863:Bone Screws; D005260:Female; D005265:Femoral Neck Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005272:Femur Neck / Q000000981:diagnostic imaging / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D010020:Osteonecrosis / Q000209:etiology; D011859:Radiography