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Fixation of femoral neck fractures with three screws: results and complications

Year 2011, Volume: 45 Issue: 1, 6 - 13, 08.04.2011

Fırat Seyfettinoglu Onder Ersan Emrah Kovalak Fatih Duygun Baris Ozsar Yalım Ateş

Abstract

Objectives: To evaluate the results and complications of femoral neck fractures treated with internal fixation with three screws with an average follow-up of three years.
Methods: Thirty seven patients operated upon between June 2000 and May 2005 for fractures of the femoral neck with three screws were identified as the study population. The final results of 26 patients (11 male, 15 female, with an average age of 39.8, range 16-69) that had a minimum of two year follow-up (average 37 months, range 24-64 months) were evaluated. Those patients that had additional fractures were not included in the evaluation. Preoperatively based on Garden classification four patients (15%) were Type I, eight patients (31%) were type 2, six patients (23%) were type three and eight patients (31%) were type 4. Functional results were evaluated according to the UCLA hip score.
Results: The average time to union was 5.5 months (range 3-12 months). One patient did not achieve union and a total hip replacement was done in the 15th postoperative month. Four patients had avascular necrosis (AVN) of the femoral head. The incidence of AVN in patients who had an operation within 24 hours of fracture was 9.5% while 40% in patients operated later than that. In patients with AVN one required a total hip replacement, another required treatment with bipolar hemiarthroplasty, the other two patients did not require further operations. One patient underwent bipolar hemiarthroplasty after screw pullout occurred on the 35th postoperative day. Fifteen patients (58%) had excellent results, five (19%) had good, 5 (19%) had moderate results and one (4%) had a poor result.
Conclusion: Operative treatment with internal fixation using three screws in femoral neck fractures in the first 24 hours after a fracture gives favourable results in young patients that are too young to be considered for arthroplasty.

Keywords

Femoral neck fracture internal fixation three screws

Year 2011, Volume: 45 Issue: 1, 6 - 13, 08.04.2011

Fırat Seyfettinoglu Onder Ersan Emrah Kovalak Fatih Duygun Baris Ozsar Yalım Ateş

Abstract

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Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Article
Authors

Fırat Seyfettinoglu This is me

Onder Ersan This is me

Emrah Kovalak This is me

Fatih Duygun This is me

Baris Ozsar This is me

Yalım Ateş This is me

Publication Date April 8, 2011
Published in Issue Year 2011 Volume: 45 Issue: 1

Cite

APA Seyfettinoglu, F., Ersan, O., Kovalak, E., Duygun, F., et al. (2011). Fixation of femoral neck fractures with three screws: results and complications. Acta Orthopaedica Et Traumatologica Turcica, 45(1), 6-13.
AMA Seyfettinoglu F, Ersan O, Kovalak E, Duygun F, Ozsar B, Ateş Y. Fixation of femoral neck fractures with three screws: results and complications. Acta Orthopaedica et Traumatologica Turcica. April 2011;45(1):6-13.
Chicago Seyfettinoglu, Fırat, Onder Ersan, Emrah Kovalak, Fatih Duygun, Baris Ozsar, and Yalım Ateş. “Fixation of Femoral Neck Fractures With Three Screws: Results and Complications”. Acta Orthopaedica Et Traumatologica Turcica 45, no. 1 (April 2011): 6-13.
EndNote Seyfettinoglu F, Ersan O, Kovalak E, Duygun F, Ozsar B, Ateş Y (April 1, 2011) Fixation of femoral neck fractures with three screws: results and complications. Acta Orthopaedica et Traumatologica Turcica 45 1 6–13.
IEEE F. Seyfettinoglu, O. Ersan, E. Kovalak, F. Duygun, B. Ozsar, and Y. Ateş, “Fixation of femoral neck fractures with three screws: results and complications”, Acta Orthopaedica et Traumatologica Turcica, vol. 45, no. 1, pp. 6–13, 2011.
ISNAD Seyfettinoglu, Fırat et al. “Fixation of Femoral Neck Fractures With Three Screws: Results and Complications”. Acta Orthopaedica et Traumatologica Turcica 45/1 (April 2011), 6-13.
JAMA Seyfettinoglu F, Ersan O, Kovalak E, Duygun F, Ozsar B, Ateş Y. Fixation of femoral neck fractures with three screws: results and complications. Acta Orthopaedica et Traumatologica Turcica. 2011;45:6–13.
MLA Seyfettinoglu, Fırat et al. “Fixation of Femoral Neck Fractures With Three Screws: Results and Complications”. Acta Orthopaedica Et Traumatologica Turcica, vol. 45, no. 1, 2011, pp. 6-13.
Vancouver Seyfettinoglu F, Ersan O, Kovalak E, Duygun F, Ozsar B, Ateş Y. Fixation of femoral neck fractures with three screws: results and complications. Acta Orthopaedica et Traumatologica Turcica. 2011;45(1):6-13.