[Treatment of fracture of neck of femur in the aged with hollow compression screw].
OBJECTIVE
To summarize the clinical results of hollow compression screw in treatment of fracture of neck of femur in the aged.


METHODS
From November 1993 to October, 1998, 52 aged patients with several types of fracture of neck of femur were treated; among them, there were 25 males and 27 females aged from 60 to 83 years (70 years on average). There were 48 cases of fresh fracture and 4 cases of old fracture. Forty-two cases were performed closed reduction internal fixation, 10 cases with open reduction internal fixation.


RESULTS
All the patients could sit by themselves 4 to 6 days after operation, and could walk with a crutch 10 to 15 days after operation. The mobility of hip joint was nearly normal 4 weeks after operation. All the patients were followed 26 to 84 months, 48.5 months on average. Bone union was achieved in 50 cases, nonunion in 2 cases. The average healing time was 4.7 months. There were no other complications, such as ankylosis and muscular atrophy, but ischemic necrosis in 3 cases.


CONCLUSIONS
This method has following advantages, convenient manipulation, less injury, stable fixation, and the short-term recovery, which avoid some common complications. It is a reliable method worthy of popularizing.
4th Hospital of Wuhan, Orthopaedics Hospital of Wuhan, Wuhan, Hubei, P. R. China 430033.
Wu-sheng
WS
Kan
Bi-guang
BG
Zhou
Heng
H
Huang
Dan-mou
DM
Xing
Yong-hai
YH
Peng
Jun-wen
JW
Wang
D000368:Aged; D000369:Aged, 80 and over; D001863:Bone Screws; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery*; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal; D006801:Humans; D008297:Male