Basal fractures of the femoral neck: intra- or extra-capsular.
The method of treatment and outcome for 83 patients presenting with a basal fracture of the femoral neck were determined. This represented 2.3% of all hip fractures admitted to one institution. The mean age of patients was 80 years, 25% were male. Seventy-one fractures were treated with a sliding hip screw, one of which cut-out. No other failures of fixation occurred or re-operations were required. Two fractures were fixed with cancellous screws, one healed in varus and the other fixation failed requiring re-operation. Six were managed with an arthroplasty and four treated conservatively. At 1-year from injury 29% of patients had died. For the survivors 87% were able to return home and only 6% had significant residual pain.
Mallick
Arijit
A
Department of Orthopaedics, Peterborough District Hospital, Peterborough PE3 6DA, UK.
Parker
Martyn J
MJ
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005265:Femoral Neck Fractures / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000295:instrumentation / Q000379:methods*; D017102:Fracture Healing / Q000502:physiology; D006801:Humans; D016268:Internal Fixators; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement / Q000379:methods; D011183:Postoperative Complications / Q000209:etiology; D011859:Radiography; D016896:Treatment Outcome; D014853:Walkers