INTERNAL FIXATION OF FEMORAL NECK FRACTURES IN ELDERLY PATIENTS: COMPARISON OF TECHNIQUES

Czech version

Authors: Richard Raši; Radoslav Morochovič; Rastislav Burda; Mária Rašiová ¹
Authors‘ workplace: Klinika úrazovej chirurgie FN L. Pasteura a LF UPJŠ, Košice, Slovensko ; Aftertreatment Department FN L. Pasteur, Košice, Slovakia ¹; Doliečovacie oddelenie FN L. Pasteura, Košice, Slovensko Clinic of Trauma surgery FN L. Pasteur and LF UPJŠ, Košice, Slovakia ¹
Published in: Úraz chir. 14., 2006, č.1

Overview

Intracapsular neck fractures of the femur are among the most frequent fractures in the elderly and their treatment is an everyday issue for trauma surgeons and orthopedists. The choice of accurate surgical procedure is still an unsolved problem. The aim of our work was to evaluate which of the contemporary used surgical procedures for treatment of these fractures in the Clinical Department of Traumasurgery at the University Hospital of L. Pasteur in Košice produces the lowest number of failures and postoperative complications.

233 patients over 60 years old were assigned to a retrospective clinical trial. They underwent internal fixation for intracapsular neck fractures of the femur and were checked at least one year after the surgery. The results show that there is statistically significant difference: lower failure of dynamic hip screw fixations in comparison with 3 parallel screws, with no statistically significant difference in postoperative infections and early death.

Key words:
intracapsular neck fractures of the femur, internal fixation, comparison.

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Labels

Surgery Traumatology Trauma surgery

TREATMENT OF CALCANEAL FRACTURES – PART I.

ACUTE SLIPPED CAPITAL FEMORAL EPIPHYSIS - RESULTS OF SURGICAL THERAPY AND REVIEW OF THE PROBLEMS

FRACTURE OF THE CALCANEUS - LIFE THREATENING INJURY

Article was published in

Trauma Surgery

2006 Issue 1