Journal of Musculoskeletal Trauma

Original Articles

Treatment of Femoral Neck Fracture (Comparison of Knowles Pin and Cannulated Screw Fixation): Jae Ik Shim, Taik Seon Kim, Sung Jong Lee, Suk Ha Lee, Young Bae Kim, Shin Pyo Kang; J Korean Soc Fract 2000;13(4):809-816. Published online October 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.4.809

Abstract PDF: PURPOSE
The authors have analyzed clinical and radiological results of the femoral neck fractures to evaluate the difference Knowles pin and cannulated screw fixation group.
MATERIALS AND METHODS
The patients were devided into two group retrospectively, Group I included 35 cases that were treated with Knowles pin fixation for femoral neck fracture and Group II included 30 cases that were treated with cannuled screw fixation for femoral neck fracture. Clinical information included operation time, total blood loss and functional outcome. Postoperative X-ray information included Garden alignment index, duration of union and complication(P>0.05).
RESULTS
There was no difference between the two fixation group regarding duration of union, functional outcome by Lanceford's method and complication(P>0.05).
CONCLUSION
Knowles pin fixation and cannulated screw fixation were considered to be proper as a fixaton method in a fracture of the femur neck.

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Multiple Knowles Pin Fixations of the Femoral Neck Fractures in Adults under 60 Years of Age: Sang Won Park, Kwang Suk Lee, Dae Gon Wie; J Korean Soc Fract 1996;9(4):859-868. Published online October 31, 1996; DOI: https://doi.org/10.12671/jksf.1996.9.4.859

Abstract PDF: Femoral neck fracture is more common in elderly even by minor trauma because of osteoporosis. In young adults, though the incidence is low, have a poor prognosis because of high incidence of non-union and aseptic necrosis. The treatment method of the femur neck fracture is widely divided into internal fination and replacelnent arthroplasty But there is still contrversies present in the treatment methods. The object of this study is to observe the relationships between the clinical outcomes and the age, the degree of displacement. the type of reduction, the time of operation and the bone density in the femoral neck fractures treated with mulliple Knowles pin fitation. The authors analyzed 29 cases of femoral neck fractures in adults under 60 years of age, who were treated with multiple pih (ixation and followed up more than 1 yearduration The results obtained were as follows; 1. The union of femoral neck fracture occured in 19 cases(65.5%) among the 19 cases and the mean duration of union was 4.8 months. 2. The complications were 8 cases(21.6%) of avascular necrosis, 2 cases(6.9%) of non-union, 2 cases of malunion and 1 case of post-traumatic arthritis. 3. The functional results by Lunceford criteria were satisfactory in 17 cases (58.6%). 4. In the patient group which were no avascular necrosis and non-union showed 89.5% of satisfactory functional end result. 5. There was a relationship between the complications such as avascular necrosis and non-union, and age of the patient, bone density, degree of initial displacement and type of reduction. But the duration between the injury and operation did not influence the complication rate. According to the above results, we concluded that multiple Knowles pin fination in femoral neck fracture is simple and safe method, and one of salvaging method of femoral head in adults under 60 years of age.

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