title: Targon Femoral Neck for femoral-neck fracture fixation: lessons learnt from a series of one hundred and thirty five consecutive cases.
abstract: OBJECTIVE
  Internal fixation versus joint replacement for treating intracapsular hip fractures is still a major debate. The Targon FN fixation concept is innovative; two small case series are promising. We present the first larger series.
  
  
  METHODS
  We conducted prospective documentation of all Targon FN cases since 2006. The implant was used for all undisplaced fractures, and for displaced fractures in patients of a biological age ≤60 years. Besides demographic data and fracture classification, we analysed infection, haematoma, implant perforation, nonunion and operative revision procedures.
  
  
  RESULTS
  In 135 cases (mean age 71 years; average operation time 60 minutes; average hospital stay ten days), we found a surgical complication rate of 16.4%. Conversion to joint replacement was necessary in 9.6%. Complication rate was significantly higher in displaced fractures.
  
  
  CONCLUSIONS
  Our study confirms low general complication rates. However, implant perforation seems to be underestimated. Optimised reduction technique may help to reduce this complication.
authors.affiliation: Department of Trauma and Orthopaedic Surgery, Klinikum Nürnberg, Breslauer Strasse 201, Nürnberg, 90471, Germany, biber@klinikum-nuernberg.de.
authors.forename: Roland
authors.initials: R
authors.lastname: Biber
authors.forename: Matthias
authors.initials: M
authors.lastname: Brem
authors.forename: Hermann Josef
authors.initials: HJ
authors.lastname: Bail
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001863:Bone Screws; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D017759:Fractures, Malunited / Q000453:epidemiology*; D006406:Hematoma / Q000453:epidemiology*; D006801:Humans; D015994:Incidence; D016268:Internal Fixators; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012086:Reoperation; D012189:Retrospective Studies; D013530:Surgical Wound Infection / Q000453:epidemiology*