Osteosynthesis and primary valgus intertrochanteric osteotomy in displaced intracapsular fracture neck of femur with osteoporosis in adults

Injury ◽  
2006 ◽  
Vol 37 (7) ◽  
pp. 666-667
Author(s):  
N.K. Magu
Injury ◽  
2005 ◽  
Vol 36 (1) ◽  
pp. 110-122 ◽  
Author(s):  
N.K. Magu ◽  
Roop Singh ◽  
Rahul Mittal ◽  
Ravinder Garg ◽  
Ashim Wokhlu ◽  
...  

Author(s):  
Varun Vijay ◽  
Naveen Srivastava

<p class="abstract"><strong>Background:</strong> Fracture neck of femur has always presented a great challenge to the orthopaedic surgeons. It is rightly called as “unsolved fracture” as far as treatment and results are concerned. Results generally depend upon time period elapsed from fracture to surgery, adequacy of reduction and fixation. Fixation with cannulated cancellous screw is usually adequate for femoral neck fractures. The aim of the study was to analyse the results of treatment of fracture neck of femur with cannulated cancellous screw fixation and to compare the results with others in the literature using the same modality.  </p><p class="abstract"><strong>Methods:</strong> 25 patients with intra capsular neck of femur fracture were followed for a period of two years post-surgery and their functional outcome was assessed based upon harris hip scoring system.<strong></strong></p><p class="abstract"><strong>Results:</strong> According to harris hip scoring system, we had excellent results in 72% cases, good in 16% cases, fair in 8% and poor in 4%. One patient went into non-union and two developed avascular necrosis of femoral head.</p><p><strong>Conclusions:</strong> Management of intracapsular fracture neck of femur with cannulated cancellous screw fixation is a very good method of treatment being a surgically easy procedure. Use of multiple cannulated cancellous screw have a compression effect at the fracture site. It also avoids re displacement and rotation.</p>


Author(s):  
Sakib Arfee ◽  
Asma Jabeen ◽  
Akib Arfee ◽  
Adnan Aadil Arfee

Background: Almost four centuries back fracture neck of femur was described, but till today this fracture is unsolved, though situation has largely improved from the days of Sir Astley Cooper, who had said “I have never met one in whom union had taken place”. High incidence of complications with this fracture even in modern day show that we still have not found way to treat this fracture appropriately and its treatment remains a challenging problem. The objective of the study was to assess the final outcome of management of intracapsular fracture neck of femur in young adult patients after internal fixation.Methods: This study has been conducted at Orthopedic Department of Government Medical College and hospital, Jammu from 2018 to 2020. 30 young adult patients with fractures neck of femur treated with CCS (27 patients) and DHS (3 patients) after taking informed consent were selected for the study.Results: 30 young adult patients in age group of 18-60 years, constituted this study. 27 patients were treated with closed reduction and internal fixation with CCS (group A) and 3 patients were treated with DHS (group B). 3 patients were lost to the follow up, all of them from group A.Conclusions: DHS appears to be more forgiving implant than CCS in fracture neck of femur in young adult patients. However number in this group is very small and hence larger studies are needed. In fixation with CCS anatomical reduction of fracture, proper screw placement is the most important criterion for achieving better results.


2017 ◽  
Vol 3 (3n) ◽  
pp. 1000-1002
Author(s):  
Dr. Rajesh S Bhat ◽  
Dr. Mohan Kumar CR ◽  
Dr. Harsharaj K ◽  
Dr. Ramprasad Rai ◽  
Dr. Jacob IPE ◽  
...  

2013 ◽  
Vol 1 (3) ◽  
pp. 33-36 ◽  
Author(s):  
GP Singh

BACKGROUND: Femoral neck fracture is a difficult problem in adult patients and without proper treatment leads to high functional impairment and frequent complications. OBJECTIVE: The aim of this study was to see the functional outcome in patients with non union of fracture neck of femur treated with intertrochanteric osteotomy. MATERIAL AND METHODS: All 14 cases operated and non operated (neglected) fracture neck of femur were enrolled for the study 2003 to 2009 in National Medical College, Birganj and Janaki Medical College, Janakpur. Patients were treated conservatively and in some patients failure of fixation was used to evaluate the functional outcome. RESULTS: There were 14 patients with average age of 30 years with age range 14-50 years. 8 patients were male and six were female. 10 patients were previously treated conservatively and 4 patients presented with failure of fixation. Average duration of fracture was 7 months (2 months -3 years with pauwel angle of 32.8. CONCLUSION:  Neglected neck of femur fracture should be treated by three cancellous screw fixation with molded and angled narrow DCP plate, valgus osteotomy and autogenous bone grafting round the fracture to achieve a high rate of patient satisfaction and satisfactory functional outcome. DOI: http://dx.doi.org/10.3126/jucms.v1i3.8762 Journal of Universal College of Medical Sciences Vol.1(3) 2013: 33-36


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