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KMID : 0386720050170010034
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Journal of the Korean Hip Society
2005 Volume.17 No. 1 p.34 ~ p.39
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Reduction and Fixation of Femoral Neck Fractures in Patients Older than 65 Years
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Lee Joon-Oh
Jo Hyun-Chul
Lee Dong-Ho
Kang Seung-Baik
Lee Ji-Ho
Yoon Kang-Sup
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Abstract
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Purpose: The aim of this study was to assess the results of reduction and internal fixation in the patients older than 65 years with femoral neck fracture.
Materials and Methods: Sixty-three patients (63 hips) with femoral neck fractures who were followed more than 3 years were evaluated. The results were assessed by fracture type, accuracy of reduction, type of implants and interval between the fracture and fixation.
Results: Overall complication rate was 36.5% (23/63) in which osteonecrosis was 20.6% (13/63), nonunion 14.3% (9/63) and subtrochanteric fracture 1.6% (1/63). Undisplaced group showed a tendency of higher success rate, but no significant difference was observed between the two groups. Anatomically reduced group showed significantly higher satisfactory results compared to nonanatomically reduced group (P=0.008, 0.011). There was no significant difference between the results according to time of surgery after injury and implant type.
Conclusion: The anatomical reduction seemed to be a major prognostic factor of osteosynthesis in elderly patients with femoral neck fracture. Anatomical reduction and internal fixation could be an effective treatment modality even in the elderly with displaced femoral neck fracture.
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