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Low reoperation rate after fixation of displaced femoral neck fractures with the femoral neck system (FNS).
Obey, Mitchel R; Falgons, Christian G; Eastman, Jonathan G; Choo, Andrew M; Achor, Timothy S; Munz, John W; Warner, Stephen J.
Afiliación
  • Obey MR; Department of Orthopaedic Surgery, Orthopaedic Trauma Service, Washington University in St. Louis, 660 S. Euclid, Campus Box 8233, St. Louis, MO, 63110, USA. Mitchel.obey@gmail.com.
  • Falgons CG; Department of Orthopaedic Surgery, University of Texas Health Science Center at Houston, Houston, TX, USA.
  • Eastman JG; Department of Orthopaedic Surgery, University of Texas Health Science Center at Houston, Houston, TX, USA.
  • Choo AM; Department of Orthopaedic Surgery, University of Texas Health Science Center at Houston, Houston, TX, USA.
  • Achor TS; Department of Orthopaedic Surgery, University of Texas Health Science Center at Houston, Houston, TX, USA.
  • Munz JW; Department of Orthopaedic Surgery, University of Texas Health Science Center at Houston, Houston, TX, USA.
  • Warner SJ; Department of Orthopaedic Surgery, University of Texas Health Science Center at Houston, Houston, TX, USA.
Eur J Orthop Surg Traumatol ; 34(5): 2581-2588, 2024 Jul.
Article en En | MEDLINE | ID: mdl-38700518
ABSTRACT

PURPOSE:

Operative fixation of femoral neck fractures (FNFs) remains challenging. Complications are not infrequent, especially in displaced patterns. Numerous fixation techniques have been previously described in the literature; however, there remains a paucity of data regarding outcomes of these injuries treated with the femoral neck system (FNS).

METHODS:

Patients with a displaced FNF (OTA/AO 31B) treated with the FNS at a single level 1 academic trauma center between 1/1/2019 and 1/1/2023 were identified. Radiographs were reviewed to assess fracture displacement, location, and characteristics. Patient records were further reviewed to assess for complications, reoperations, and osseous union.

RESULTS:

Forty-three patients (65% male) with 44 FNFs were identified with a mean age of 35.0 years (range, 13-61 years). Two patients developed a deep infection requiring surgical debridement, four patients underwent a total hip arthroplasty, and one patient underwent a valgus intertrochanteric osteotomy for nonunion. There were three cases of femoral head AVN. Mean follow-up was 482.5 days among all patients, and 36 fractures had at least 6 months of follow-up or reached bony union.

CONCLUSIONS:

Here, we present a series of patients treated with the FNS for internal fixation and report a 18% reoperation rate. This is lower than the average rate that has been previously reported in similar patient populations in the literature treated with alternative methods of internal fixation. Thus, the FNS appears to be a safe and effective option for treatment of these injuries.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Reoperación / Fracturas del Cuello Femoral / Fijación Interna de Fracturas Límite: Adolescent / Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Eur J Orthop Surg Traumatol Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Francia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Reoperación / Fracturas del Cuello Femoral / Fijación Interna de Fracturas Límite: Adolescent / Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Eur J Orthop Surg Traumatol Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Francia