TY - JOUR T1 - Our Surgical Results for Femoral Neck Fractures: A Demographic and Retrospective Cohort Study. AU - Allahverdi, Ertugrul PY - 2020 DA - August DO - 10.19127/mbsjohs.702186 JF - Middle Black Sea Journal of Health Science JO - Mid Blac Sea J Health Sci PB - Ordu University WT - DergiPark SN - 2149-7796 SP - 158 EP - 165 VL - 6 IS - 2 LA - en AB - Objective: Proximal Femur Fractures due to trauma in the form of falls have become a common health problem among advanced age groups worldwide.Proximal Femur Fractures occur in various anatomical regions due to low- and high-energy causes related to falls, traffic accidents, metastatic tumors and osteoporosis.Method: We compared the WOMAC results in addition to post-operative ROMs between three groups covering healthy hip joints with no apparent pathology and operated hip joints in 34 cases. Results: A total of 34 patients consisting of 19 males and 15 females were included in the study. The mean age was 62.91±5.13 years in the proximal femur fracture was due to a traffic accident in 3 patients and a fall in 31 patients. Osteoporosis was present in 21 patients and osteopenia in 6 patients, with no bone pathology in 4 patients. Mild postoperative limitations were present in abduction and adduction on the operated joint side but there was no significant difference (p> 0.05) between the other ROM values of the operated side and the healthy sideConclusion: The quality of life increased in the post-operative period according to the surgical method used, the selection of the appropriate materials for the reconstructive surgery performed, and early diagnosis and treatment. KW - trauma KW - osteoporosis KW - fracture KW - femoral neck CR - Braun W, Rüter A, Wiedemann M, Kissing F. Femoral head preserving therapy in medial femoral neck fractures. A clinical study of the effects of treatment method on the outcome. Unfallchirurg 1991; 94(6): 325-30 (Article in German) CR - Bryant C, Harley J. Re: Parkinson's disease patients who fracture their neck of femur: a review of outcome data. Injury 2007; 38(10): 1222. CR - Butt FF, Hussain AS, Khan AM, Sultan MJ. Implants for extracapsular neck of femur fracture Dynamic hip screw versus intramedullary nailing. J Ayub Med Coll Abbottabad 2017; 29(4): 697-701. CR - Florschutz AV, Langford JR, Haidukewych GJ, Koval KJ. Femoral neck fractures: current management. J Orthop Trauma 2015; 29(3): 121-9. CR - Gullberg B, Johnell O, Kanis JA. World-wide projections for hip fracture. Osteoporosis Int; 1997: 407–13. CR - Langford J, Strauss E. Femoral Neck Fractures. Fix or Replace? Techniques in Orthopedics 2008; 23(3): 208-12. CR - Lee YS, Chen SH, Tsuang YH, Huang HL, Lo TY, Huang CR. Internal fixation of undisplaced femoral neck fractures in the elderly: A retrospective comparison of fixation methods. J Trauma 2008; 64: 155-62. CR - Li M, Cole PA. Anatomical considerations in adult femoral neck fractures: how anatomy influences the treatment issues? Injury 2015; 46(3): 453-8. CR - Lin PP, Kang HG, Kim YI, Kim JH, Kim HS. Minimally invasive surgery for femoral neck fractures using bone cement infusible hollow-perforated screw in high-risk patients with advanced cancer. Surg Oncol. 2015; 24(3): 226-31. CR - Malik AA, Kell P, Khan WS, Ihsan KM, Dunkow PJ. Surgical management of fractured neck of femur. Perioper Pract 2009; 19(3): 100-4. CR - Martyn J. Fractures of the hip. Surgery 2003; 21: 221–4. CR - Ong BC, Maurer SG, Aharonoff GB, Zuckerman JD, Koval KJ. Unipolar versus bipolar hemiarthroplasty: Functional outcome after femoral neck fracture at a minimum of thirty-six months of follow-up. J Orthop Trauma 2002; 16: 317-22. CR - Parker MJ. The management of intracapsular fractures of the proximal femur. J Bone Joint Surg (Br) 2000; 82-B: 937- 41. CR - Patterson JT, Tangtiphaiboontana J, Pandya NK. Management of Pediatric Femoral Neck Fracture. J Am Acad Orthop Surg. 2018: 26(12): 411-9. CR - Thuan V Ly, Swiontkowski MF. Management of femoral neck fractures in young adults. Indian J Orthop 2008; 42(1): 3-12. CR - Weil NL, van Embden D, Hoogendoorn JM. Radiographic fracture features predicting failure of internal fixation of displaced femoral neck fractures. Eur J Trauma Emerg Surg 2015; 41(5): 501-7. CR - Yamauchi K, Naofumi M, Sumida H, Fukuta S, Hori H. Comparison of morphological features in the femur between femoral neck fractures and femoral intertrochanteric fractures. Surg Radiol Anat 2016; 38(7): 775-80. CR - Zlowodzki M, Ayeni O, Petrisor BA, Bhandari M. Femoral neck shortening after fracture fixation with multiple cancellous screws: incidence and effect on function. J Trauma 2008: 64(1): 163-9. UR - https://doi.org/10.19127/mbsjohs.702186 L1 - https://dergipark.org.tr/en/download/article-file/1267042 ER -