Ui-Seoung Yoon; Jin-Soo Kim; Hak-Jin Min; Jae-Seong Seo; Jong-Pil Yoon; Joo-Young Chung

doi:10.12671/jkfs.2010.23.1.1

Articles

Page Path: HOME > J Musculoskelet Trauma > Volume 23(1); 2010 > Article

Original Article
Internal Fixation for Femoral Neck Fracture in Patients between the Ages of Twenty and Forty Years: Ui-Seoung Yoon, M.D., Jin-Soo Kim, M.D., Hak-Jin Min, M.D., Jae-Seong Seo, M.D., Jong-Pil Yoon, M.D., Joo-Young Chung, M.D.; Journal of the Korean Fracture Society 2010;23(1):1-5.
DOI: https://doi.org/10.12671/jkfs.2010.23.1.1
Published online: January 31, 2010

Department of Orthopedic Surgery, Seoul Medical Center, Seoul, Korea.

Address reprint requests to: Jin-Soo Kim, M.D. Department of Orthopedic Surgery, Seoul Medical Center, 171-1, Samsung-dong, Gangnam-gu, Seoul 135-740, Korea. Tel: 82-2-3430-0675, Fax: 82-2-539-1262, rocket-jinsoo@hanmail.net

• Received: May 31, 2009 • Revised: September 16, 2009 • Accepted: November 17, 2009

105 Views
0 Download
1 Crossref

Full Article

Download PDF

Abstract
REFERENCES

Abstract

Purpose
To retrospectively analysis of results of operatively treatment for femoral neck fracture occurred in twenties to thirties.
Materials and Methods
20 patients were selected whom we were able to follow up at least 2 years after internal fixation for femoral neck fracture in twenties to thirties from 1998 to 2005. Mean age was 32.2 (21~39) and average follow up period was 26.3 (24~45) months. According to preoperative X-ray, there were 6 cases for Garden classification stage I, 10 for stage II and 4 for stage III, and 7 cases for subcapital fracture, 9 for transcervical fracture, 4 for basicervical fracture. In all cases, operations were performed within 12 hours after the injury. The operations were done after satisfying reduction with the Garden alignment index, with three cannulated screws for internal fixation. Postoperative results were analyzed by clinical symptoms and radiological examinations during follow up periods.
Results
In immediately postoperative radiological examination, satisfying anatomical reduction with Garden alignment index was obtained in all cases, and unions were obtained within 4.5 months after the operation (3~6 month). Avascular necrosis of femoral head occurred in 7 cases of all patients (35.0%). The average time of occurrence of avascular necrosis of femoral head after operation was 10.7 months (9~15 months). Avascular necrosis was occutted 5 (31.3%) in fracture without displacement (Garden stage I, II), 2 (50.0%) in fracture with displacement (Garden stage III) and 4 in subcapital fracture, 3 in transcervical fracture.
Conclusion
The incidence of avascular necrosis of femoral head after the operation for displaced and nondisplaced femoral neck fracture between twenties and forty years was no significant difference.
Key words: Femoral neck, Fracture, Internal fixation

REFERENCES

1. Askin SR, Bryan RS. Femoral neck fractures in young adults. Clin Orthop Relat Res, 1976;114:259-264.Article
2. Asnis SE, Wanek-Sgaglion L. Intracapsular fractures of the femoral neck. Results of cannulated screw fixation. J Bone Joint Surg Am, 1994;76:1793-1803.
3. Banks HH. Nonunion in fractures of the femoral neck. Orthop Clin North Am, 1974;5:865-885.
4. Bray TJ, Smith-Hoefer E, Hooper A, Timmerman L. The displaced femoral neck fracture. Internal fixation versus bipolar endoprosthesis. Results of a prospective, randomized comparison. Clin Orthop Relat Res, 1988;230:127-140.
5. Chang JS, Shon WY, Shin HC, Chae DJ, Lee SH. A clinical study of treatment of displaced fractures of femur neck with internal fixation in elderly patients. J Korean Orthop Assoc, 1992;27:131-138.
6. Dedrick DK, Mackenzie JR, Burney RE. Complications of femoral neck fracture in young adults. J Trauma, 1986;26:932-937.
7. Ficat RP. Idiopathic bone necrosis of the femoral head. Early diagnosis and treatment. J Bone Joint Surg Br, 1985;67:3-9.
8. Garden RS. Reduction and fixation of subcapital fractures of the femur. Orthop Clin North Am, 1974;5:683-712.
9. Garden RS. Stability and union in subcapital fractures of the femur. J Bone Joint Surg Br, 1964;46:630-647.
10. Gautam VK, Anand S, Dhaon BK. Management of displaced femoral neck fractures in young adults (a group at risk). Injury, 1998;29:215-218.
11. Haidukewych GJ, Rothwell WS, Jacofsky DJ, Torchia ME, Berry DJ. Operative treatment of femoral neck fractures in patients between the ages of fifteen and fifty years. J Bone Joint Surg Am, 2004;86:1711-1716.
12. Hammer AJ. Nonunion of subcapital femoral neck fractures. J Orthop Trauma, 1992;6:73-77.
13. Keller CS, Laros GS. Indications for open reduction of femoral neck fractures. Clin Orthop Relat Res, 1980;152:131-137.
14. Kofoed H. Femoral neck fractures in young adults. Injury, 1982;14:146-150.
15. Lindequist S, Wredmark T, Eriksson SA, Samnegård E. Screw positions in femoral neck fractures. Comparison of two different screw positions in cadavers. Acta Orthop Scand, 1993;64:67-70.
16. Lunceford EM Jr. Use of the moore self-locking vitallium prosthesis in acute fractures of the femoral neck. J Bone Joint Surg Am, 1965;47:832-841.
17. Manninger J, Kazar G, Fekete G, et al. Significance of urgent (within 6h) internal fixation in the management of fractures of the neck of the femur. Injury, 1989;20:101-105.
18. Muckle DS, Miscony Z. Fractures of the femoral neck in the 'young' elderly. Injury, 1980;12:41-44.
19. Park SW, Baek JR, Han SS. Treatment of femoral neck with multiple pinning. J Korean Soc Fract, 1999;12:220-230.
20. Protzman RR, Burkhalter WE. Femoral neck fractures in young adults. J Bone joint Surg Am, 1976;58:689-695.
21. Sadat-Ali M, Ahlberg A. Fractured neck of the femur in young adults. Injury, 1992;23:311-313.
22. Swiontkowski MF, Harrington RM, Keller TS, Van Patten PK. Torsion and bending analysis of internal fixation techniques for femoral neck fractures: the role of implant design and bone density. J Orthop Res, 1987;5:433-444.
23. Tooke SM, Favero KJ. Femoral neck fractures in skeletally mature patients, fifty years old or less. J Bone Joint Surg Am, 1985;67:1255-1260.
24. Yim SJ, Woo SH, Kim MY, et al. Analysis of affecting factors of fixation failure of femoral neck fractures using internal fixation. J Korean Fract Soc, 2006;19:297-302.

Table 1

Criteria of the functional results

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Comparison of Clinical Outcomes for Femoral Neck System and Cannulated Compression Screws in the Treatment of Femoral Neck Fracture
Jae Kwang Hwang, KiWon Lee, Dong-Kyo Seo, Joo-Yul Bae, Myeong-Geun Song, Hansuk Choi
Journal of the Korean Fracture Society.2023; 36(3): 77. CrossRef

Cite

CITE: export Copy Download Format; Close

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

RIS — For EndNote, ProCite, RefWorks, and most other reference management software
BibTeX — For JabRef, BibDesk, and other BibTeX-specific software

Include:

Citation for the content below
Citation and abstract for the content below

Internal Fixation for Femoral Neck Fracture in Patients between the Ages of Twenty and Forty Years

J Korean Fract Soc. 2010;23(1):1-5. Published online January 31, 2010

DOI: https://doi.org/10.12671/jkfs.2010.23.1.1

XML Download

We recommend

Internal Fixation for Femoral Neck Fracture in Patients between the Ages of Twenty and Forty Years

Table 1

Criteria of the functional results

Table 1 Criteria of the functional results