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The evaluation of the results of femoral neck fractures treated with the Richard s hip screw

Year 1992, Volume: 26 Issue: 4, 264 - 266, 11.09.2006

Abstract

The femoral neck fractures remain one of the unsolved fractures. it is a fracture with a high incidence of nonunion and avascular necrosis. Between January 1985 and December 1990 in Department of Orthopaedic and Traumatology Clinic in Ege University, forty-six (32 male, 14 female) mostly young adult patients with femoral neck fractures were treated by the Richards hip screw. In twenty-nine cases, the Richards screw were supported by short threat AO 6.5 mm cancellous screws. Thirty-nine of the patients were observed for an average of 37 (Min, 14, Max. 47) months. Twelve of Group 1 and 27 of Group 2 were reevaluated. The results obtained by using only Richards compression screw (Group 1 ) and the ones supported by canceflous screw (Group 2) were compared. The early complications, the beginning of rehabilitation, early weight bearing, duration of healing, the rotation problems of the fracture area were better in Group 2. The incidence of nonunion was %25 in Group 1. and %14 in Group 2. There was no significant difference in avascular necrosis rates between groups. it was observed that when canceflous screws was used in Garde.n 3. and 4. displaced fractures, the stability was increased in the fractured area.

Femur boyun kırıklarının tedavisinde Richards kompresyon vidası uygulaması

Year 1992, Volume: 26 Issue: 4, 264 - 266, 11.09.2006

Abstract

Ocak 1985-Aralık 1990 arasında Ege Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı'nda yaş ortalaması 32 (Min. 20, Mak. 59) olan 46 (32 erkek, 14 bayan) femur boyun kırıklı olguya dinamik Richards kompresyon çivisi uygulandı. 29 olguda (%63) Richards kompresyon çivisi kısa yivli AO 6.5 mm spongioz vida ile desteklendi. Ortalama 37 (Min. 14. Mak. 47) ay izlenen 39 (12 olgu, Grup 1.,27 olgu Grup 2) yeniden değerlendirildi. Tek başına Richards kompresyon çivisi (Grup 1), spongioz vida ile desteklenen şekli (Grup 2) ile alınan sonuçlar kıyaslandı. Erken gelişen komplikasyonlar, rehabilitasyona başlama zamanı, iyileşme süreci, kırık yerinde rotasyon sorunu, varusa kayma ve nonunion gelişimi açısından Grup 2'de alınan sonuçlar daha iyi oldu. Nonunion görülme sıklığı Grup I'de %25, Grup 2'de %14 olup değişik faktörlerden etkilenen avasküler nekroz oluşumu iki grupta da belirgin bir farklılık göstermedi. Özellikle Garden 3. ve 4. tip kırıklarda eklenen spongioz vidanın kırık yerinde stabiliteyi artırdığı gözlendi.

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Details

Primary Language English
Journal Section Original Article
Authors

Kemal Aktuglu This is me

Hakki Oncag This is me

Publication Date September 11, 2006
Published in Issue Year 1992 Volume: 26 Issue: 4

Cite

APA Aktuglu, K., & Oncag, H. (2006). The evaluation of the results of femoral neck fractures treated with the Richard s hip screw. Acta Orthopaedica Et Traumatologica Turcica, 26(4), 264-266. https://doi.org/10.3944/aott.v26i4.1353
AMA Aktuglu K, Oncag H. The evaluation of the results of femoral neck fractures treated with the Richard s hip screw. Acta Orthopaedica et Traumatologica Turcica. September 2006;26(4):264-266. doi:10.3944/aott.v26i4.1353
Chicago Aktuglu, Kemal, and Hakki Oncag. “The Evaluation of the Results of Femoral Neck Fractures Treated With the Richard S Hip Screw”. Acta Orthopaedica Et Traumatologica Turcica 26, no. 4 (September 2006): 264-66. https://doi.org/10.3944/aott.v26i4.1353.
EndNote Aktuglu K, Oncag H (September 1, 2006) The evaluation of the results of femoral neck fractures treated with the Richard s hip screw. Acta Orthopaedica et Traumatologica Turcica 26 4 264–266.
IEEE K. Aktuglu and H. Oncag, “The evaluation of the results of femoral neck fractures treated with the Richard s hip screw”, Acta Orthopaedica et Traumatologica Turcica, vol. 26, no. 4, pp. 264–266, 2006, doi: 10.3944/aott.v26i4.1353.
ISNAD Aktuglu, Kemal - Oncag, Hakki. “The Evaluation of the Results of Femoral Neck Fractures Treated With the Richard S Hip Screw”. Acta Orthopaedica et Traumatologica Turcica 26/4 (September 2006), 264-266. https://doi.org/10.3944/aott.v26i4.1353.
JAMA Aktuglu K, Oncag H. The evaluation of the results of femoral neck fractures treated with the Richard s hip screw. Acta Orthopaedica et Traumatologica Turcica. 2006;26:264–266.
MLA Aktuglu, Kemal and Hakki Oncag. “The Evaluation of the Results of Femoral Neck Fractures Treated With the Richard S Hip Screw”. Acta Orthopaedica Et Traumatologica Turcica, vol. 26, no. 4, 2006, pp. 264-6, doi:10.3944/aott.v26i4.1353.
Vancouver Aktuglu K, Oncag H. The evaluation of the results of femoral neck fractures treated with the Richard s hip screw. Acta Orthopaedica et Traumatologica Turcica. 2006;26(4):264-6.