Result of Internal Fixation for Stable Femoral Neck Fractures in Elderly Patients
- Author(s)
- Byung-Woo Min; Kyung-Jae Lee; Ki-Cheor Bae; Si-Wuk Lee; Seok-Jung Lee; Jung-Hoon Choi
- Alternative Author(s)
- Min, Byung Woo; Lee, Kyung Jae; Bae, Ki Cheor; Lee, Si Wook
- Department
- Dept. of Orthopedic Surgery (정형외과학)
- Journal Title
- Hip & Pelvis
- Issued Date
- 2016
- Volume
- 28
- Number
- 1
- Keyword
- Femur; Stable fracture; Internal fracture fixation
- Abstract
- Purpose: This study was conducted to evaluate the results of internal fixation for stable femoral neck fractures
occurring in patients over 65 years old.
Materials and Methods: Between 2008 and 2014, we evaluated 25 patients over 65 years old with Garden type 1
and 2 femoral neck fractures that were treated with internal fixation after a minimum follow up of 1 year. There
were 5 males and 20 females and the average age was 72.3 years (range, 65-84 years) at the time of surgery.
Fracture site union, horizontal shortening and complications were evaluated as radiographic parameters and change
of walking ability (as measured using Koval walking ability score) was investigated as a clinical parameter.
Results: Union of fracture site was achieved in 24 out of the 25 cases (96.0%). The average length of horizontal
shortening was 6.5 mm (range, 0.2-19.7 mm). At final follow up, 3 cases experienced complications: nonunion
(n=1), avascular necrosis (n=1), and subtrochanteric fracture after minor trauma (n=1). Walking ability decreased
an average of 1 step at the final follow up.
Conclusion: Internal fixation for stable femoral neck fractures occurring in patients over 65 years showed
satisfactory union rates. However, care should be taken with this technique given the possibility of decreased
walking ability resulting from horizontal shortening.
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