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KMID : 0386719890010010040
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Journal of the Korean Hip Society
1989 Volume.1 No. 1 p.40 ~ p.50
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Treatment and Complication of the Femoral Neck Fracture
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유명철/Yoo MC
이상언/금세진/이계림/전철우/Lee SU/Kum SJ/Lee KL/Jeon CW
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Abstract
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Authors analysed 111 cases of the femoral neck fracture with more than 1 year of follow-up period among 172 cases treated in our department between January 1981 to July 1988. The conclusions were as follows. 1. 29 cases(26%) were below 50-year-old and 82 cases(74%) were above 50-year-old. More males(82.8%) belonged to below 50-year-old, while more females (63.4%) belonged ta above 50-year-old. 2. Both males and females bdow 50-year-old showed near normal value in Singhs index with 5.5 and 4.4 iespectively, while definite osteoporosis pattem was noted in both males and females above 50-year-old with 3.2 and 2.3 in the index. 4. Average bone union time of internal fixation group was 15.1 weeks. 5. In internal fixation group, compliCations encountered in 43 cases in 25 patients(rate.40 .3%);among these, avascular necrosis was most common(rate:24.2%). 6. Amount of extemal force, degree of initial displacement and accuracy of reduction were considered as the major factors in influencing the development of avascular necrosis, but age and sex, delay of operation and fixation device were seemed to be the minor factors. 7. 11 cases treated conservatively revealed poor result with 6 cases of nonunion and 3 cases of malunion.
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