Outcome Assessment of Surgical Treatment of Femoral Neck Fracture in Adults by Screw Fixation (Short-Term Results)

Dashtbozorg, Ahmad; Dashtbozorg, Ahmad; Mehdinassab, Seyed Abdolhossein; Badakhshanmehr, Fatemeh

doi:10.22034/ijos.2020.121028

Outcome Assessment of Surgical Treatment of Femoral Neck Fracture in Adults by Screw Fixation (Short-Term Results)

Authors

Ahmad Dashtbozorg

Seyed Abdolhossein Mehdinassab

Fatemeh Badakhshanmehr

https://doi.org/10.22034/ijos.2020.121028

Abstract

Background: Femoral neck fracture is uncommon but serious injuries in young adult with high complication rate. This study was designed to evaluate the outcome of surgical treatment of such a fracture fixed by screw in. Methods: In a descriptive prospective study form 2006 to 2009, 42 patients with the mean age of 37 years (15–60 yrs) were treated by closed or open reduction and screw fixation for femoral neak fractures in two university hospitals in Ahvaz- Iran. They all received surgery within the first 24 hours after injury. They were followed for 15 months on average. Results: In accordance with Garden classification, 2 patients were type I, 3 type II, 18 type III and 19 type IV Gorden fractures. Thirty two cases were fixed by open reduction and fixation and 10 by closed reduction. :::union::: was achieved in 30 pateints. The 12 (28.6%) cases of non:::union::: were seen in the ones who received open reduction and fixation. Avascular necrosis was observed in 7 patients (16.7%), 4 of whom had obtained :::union:::. Conclusion: Femoral neck fracture is associated with high complication rate, in particular, if open reduction becomes necessary.

Keywords

Femoral Neck Fracture

Fracture Fixation, Internal

Treatment outcome