Outcome of non-operative management in Garden I femoral neck fractures.
BACKGROUND
We studied the operation rate for secondary displacement in Garden type 1 femoral neck fracture when treated primarily conservatively.


METHODS
We reviewed the records of 115 patients with Garden type 1 femoral neck fractures primarily treated conservatively.


RESULTS
Operation for secondary displacement was required in 48 cases (41%); the displacement rate was highest at age 60-80 years. There was significant difference between age and secondary displacement, but none between gender, ASA classification or Pauwels angle and secondary displacement.


CONCLUSIONS
Garden type 1 femoral neck fractures deserve special attention because of the high rate of secondary displacement when they are conservatively treated, and surgery should therefore considered.
Shuqiang
Ma
M
Department of Orthopedics, Second Hospital of Xi'an Jiaotong University, Xi'an, Shanxi 710004, China. mashuqiang369@163.com
Kunzheng
Wang
W
Zhichao
Tong
T
Mingyu
Zhang
Z
Wei
Wang
W
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D016009:Chi-Square Distribution; D005260:Female; D005265:Femoral Neck Fractures / Q000145:classification / Q000628:therapy*; D005592:Fracture Fixation / Q000009:adverse effects / Q000379:methods*; D005599:Fractures, Ununited / Q000453:epidemiology / Q000209:etiology* / Q000601:surgery; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D018709:Statistics, Nonparametric; D014143:Traction; D017211:Treatment Failure