Nevertheless, functional results in these patients are based on the restoration of the anatomy of the proximal femur.įemoral neck fractures in the younger population are frequently associated with high-energy trauma. Avascular necrosis (AVN) of the femoral head and nonunion are potential complications especially in displaced fractures. The treatment of femoral neck fractures in younger patients is controversial. International Journal of Orthopaedics 2018 5(6): 979-984 Available from: URL: Shortening and Varus Collapse of Femoral Neck Fractures In Young Patients (< 55 Years): Percutaneous Cannulated Screws vs. All rights reserved.Ĭarbonell-Escobar R, Fernandez-Fernandez R, Rodriguez-Merchan EC, Ibarzabal-Gil A, Gil-Garay E. Patients following AVN or with severe shortening and varus collapse presented lower quality of life scores.ĬONCLUSION: We found a higher degree of varus collapse and shortening in patients treated with PCS.įemoral neck Fractures Osteosynthesis Percutaneous cannulated screws Dynamic hip screw Comparative results Mean femoral neck shortening was 6.2 mm (range, 1-13) and mean varus collapse was 8.1° (range, 1-15°). The rate of avascular necrosis (AVN) was 9.1% (6 cases). 21 fractures showed comminution of the medial cortex and 14 of the posterior cortex. There were 34 undisplaced fractures and 32 displaced fractures. Thirty-seven fractures were treated with three PCS and twenty nine with ORIF using a DHS. RESULTS: Mean age was 44.1 years (range, 22-55) and mean follow-up 3.2 years (range, 2-5). Euroquol-5D (EQ5D) questionnaires were employed to evaluate clinical results. The objective of this study is to compare varus collapse and shortening of the femoral neck in young patients ( 5 mm), and the degree of varus collapse into two groups: moderate ( 7°) with relation to the unfractured hip. Email: Received: SeptemRevised: OctoAccepted: NovemPublished online: December 28, 2018īACKGROUND: The treatment of femoral neck fractures in younger patients is controversial. Carlos Rodriguez-Merchan, Department of Orthopedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain. See: http: ///licenses/by-nc/4.0/ Correspondence to: E. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. Carlos Rodriguez-Merchan, Aitor Ibarzabal-Gil, Enrique Gil-Garay, Department of Orthopedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain Conflict-of-interest statement: The author(s) declare(s) that there is no conflict of interest regarding the publication of this paper. Rafael Carbonell-Escobar, Ricardo Fernandez-Fernandez, E. Carlos Rodriguez-Merchan, MD, PhD, Aitor Ibarzabal-Gil, MD, Enrique Gil-Garay, MD, PhD Rafael Carbonell-Escobar, MD, Ricardo Fernandez-Fernandez, MD, PhD, E. Shortening and Varus Collapse of Femoral Neck Fractures in Young Patients (< 55 Years): Percutaneous Cannulated Screws vs.
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