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Chirurg. 2001 Nov;72(11):1292-7.

[Minimally invasive screw fixation of the intracapsular femoral neck fracture in elderly patients].

[Article in German]

Author information

1
Unfallchirurgische Klinik der Medizinische Hochschule Hannover. bosch.ulrich@mh-hannover.de

Abstract

INTRODUCTION:

Increasing life expectancy is associated with an increase of geriatric fractures such as intracapsular femoral neck fractures. Their treatment by arthroplasty imposes a significant burden on our health care system.

METHODS:

In an open clinical study we investigated the complication rate of a less expensive and less invasive, femoral head saving operative procedure. Between June 1997 and June 2000, 205 intracapsular femoral neck fractures of elderly patients (mean age 78.1 +/- 11.8 years) were fixed with cannulated screws.

RESULTS:

Seventy-seven percent were displaced fractures and 15.6% were impacted Garden I fractures. Reoperation after internal fixation occurred in 38 patients. The most frequent cause of reoperation was secondary arthroplasty due to redisplacement (14x), femoral head necrosis (10x) and non-union (7x). Implant removal (4x), wound hematoma (1x) and femoral head penetration by screws (2x) were other causes for reoperation.

CONCLUSION:

Less invasive cannulated screw fixation of intracapsular femoral neck fractures should be considered as a treatment option, because it is a smaller and less expensive operation than prosthetic replacement. Adequate reduction and screw placement, however, are a prerequisite for successful outcome.

PMID:
11766653
[Indexed for MEDLINE]

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