Displaced femoral neck fractures in adult and elderly patients, pitfalls in treatment options: internal fixation or replacement?

Franky STEENBRUGGE; Kris GOVAERS; Wim NİEUWENHUYSE; Jacques OVERSCHELDE

Makale detayları

Displaced femoral neck fractures in adult and elderly patients, pitfalls in treatment options: internal fixation or replacement?

Yazarlar:

Franky STEENBRUGGE | Kris GOVAERS | Wim NİEUWENHUYSE | Jacques OVERSCHELDE

Yayıncı:

Turkish Association of Orthopaedics and Traumatology

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Acta Orthopaedica et Traumatologica Turcica 2000 Vol.34 Issue 4, pp.430-433

Belge Tipi:

Makale

Yayın Tarihi:

9/2006

Belge Dili:

İngilizce

Document ID (Org No.):

2000813433

Sıklık:

İki Aylık

eISSN:

1017-995X

pISSN:

1017-995X

Anahtar kelimeler:

Özet:

 

The incidence of hip fractures is steadily increasing. The treatment of displaced femoral neck fractures is controversial. The principal area of disagreement is whether to reduce the fracture and use internal fixation or to perform a total or partial hip replacement. Especially in Scandinavia, primary osteosynthesis, irrespective of age, has been the method of choice for decades with an 80% success rate. Even the supporters of osteosynthesis report a high percentage of non-union (20-25%) mainly due to failures in the elderly. Undoubtedly, younger patients and those with minimally displaced fractures should be treated by internal fixation in an attempt to preserve the natural hip joint. Hemiarthroplasty appears to be best suited for the elderly. The ‘gray-zone’ in between the two distinct patient populations is the subject of much controversy.

 

The incidence of hip fractures is steadily increasing. The treatment of displaced femoral neck fractures is controversial. The principal area of disagreement is whether to reduce the fracture and use internal fixation or to perform a total or partial hip replacement. Especially in Scandinavia, primary osteosynthesis, irrespective of age, has been the method of choice for decades with an 80% success rate. Even the supporters of osteosynthesis report a high percentage of non-union (20-25%) mainly due to failures in the elderly. Undoubtedly, younger patients and those with minimally displaced fractures should be treated by internal fixation in an attempt to preserve the natural hip joint. Hemiarthroplasty appears to be best suited for the elderly. The ‘gray-zone’ in between the two distinct patient populations is the subject of much controversy.

Makale detayları

Displaced femoral neck fractures in adult and elderly patients, pitfalls in treatment options: internal fixation or replacement?

Yazarlar:

Franky STEENBRUGGE | Kris GOVAERS | Wim NİEUWENHUYSE | Jacques OVERSCHELDE

Yayıncı:

Turkish Association of Orthopaedics and Traumatology

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Acta Orthopaedica et Traumatologica Turcica 2000 Vol.34 Issue 4, pp.430-433

Belge Tipi:

Makale

Yayın Tarihi:

9/2006

Belge Dili:

İngilizce

Document ID (Org No.):

2000813433

Sıklık:

İki Aylık

eISSN:

1017-995X

pISSN:

1017-995X

Arthroplasty;femoral neck fractures/therapy;femoral neck fractures/surgery;fracture fixation

internal/adverse effects;hip dislocation/surgery;hip prosthesis/methods;postoperative complications

Sayı

Makale detayları

Displaced femoral neck fractures in adult and elderly patients, pitfalls in treatment options: internal fixation or replacement?

Yazarlar: Franky STEENBRUGGE | Kris GOVAERS | Wim NİEUWENHUYSE | Jacques OVERSCHELDE

Yayıncı: Turkish Association of Orthopaedics and Traumatology

Ana Başlıklar: Sağlık teşvikleri

Dergi: Acta Orthopaedica et Traumatologica Turcica 2000 Vol.34 Issue 4, pp.430-433

Belge Tipi: Makale

Yayın Tarihi: 9/2006

Belge Dili: İngilizce

Document ID (Org No.): 2000813433

Sıklık: İki Aylık

eISSN: 1017-995X

pISSN: 1017-995X

Arthroplasty;femoral neck fractures/therapy;femoral neck fractures/surgery;fracture fixation

internal/adverse effects;hip dislocation/surgery;hip prosthesis/methods;postoperative complications

Sayı

Yazarlar:

Franky STEENBRUGGE | Kris GOVAERS | Wim NİEUWENHUYSE | Jacques OVERSCHELDE

Yayıncı:

Turkish Association of Orthopaedics and Traumatology

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Acta Orthopaedica et Traumatologica Turcica 2000 Vol.34 Issue 4, pp.430-433

Belge Tipi:

Makale

Yayın Tarihi:

9/2006

Belge Dili:

İngilizce

Document ID (Org No.):

2000813433

Sıklık:

İki Aylık

eISSN:

1017-995X

pISSN:

1017-995X