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Result of Internal Fixation for Stable Femoral Neck Fractures in Elderly Patients

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Author(s)
Byung-Woo MinKyung-Jae LeeKi-Cheor BaeSi-Wuk LeeSeok-Jung LeeJung-Hoon Choi
Alternative Author(s)
Min, Byung WooLee, Kyung JaeBae, Ki CheorLee, Si Wook
Department
Dept. of Orthopedic Surgery (정형외과학)
Journal Title
Hip & Pelvis
Issued Date
2016
Volume
28
Number
1
Keyword
FemurStable fractureInternal 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.
Affiliated Author(s)
민병우
이경재
배기철
이시욱
Publisher
School of Medicine
Citation
Byung-Woo Min et al. (2016). Result of Internal Fixation for Stable Femoral Neck Fractures in Elderly Patients. Hip & Pelvis, 28(1), 43–48. doi: 10.5371/hp.2016.28.1.43
Type
Article
ISSN
2287-3260
DOI
10.5371/hp.2016.28.1.43
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33282
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
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