Biomaterial Database

Complications of fractures of the femoral neck. 1986

B F Iversen, and J R Aalberg, and L S Naver

The results of a series of 82 medial femoral neck fractures are presented. Complications arose in 34% of 24 non-operated impacted fractures (17% redisplacement, 17% necrosis of the femoral head). 58 patients were treated with a sliding screw plate device (Zimmer). The Garden stage I and II fractures united uneventfully. Out of a total of 52 Garden stage III and IV fractures, 14 (27%) had to be reoperated with total hip arthroplasty, due to redisplacement or necrosis of the femoral head. All redisplacements occurred in cases of unsuccessful reduction, indicating that quality of reduction is the prime determinant with regard to redisplacement. As all Garden stage I and II fractures, and 73% of the Garden stage III and IV fractures united, the material points at the gliding screw plate device as a most recommendable treatment in femoral neck fractures.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D011183	Postoperative Complications	Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.	Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D001863	Bone Screws	Specialized devices used in ORTHOPEDIC SURGERY to repair bone fractures.	Bone Screw,Screw, Bone,Screws, Bone
D005260	Female		Females
D005265	Femoral Neck Fractures	Fractures of the short, constricted portion of the thigh bone between the femur head and the trochanters. It excludes intertrochanteric fractures which are HIP FRACTURES.	Femur Neck Fractures,Femoral Neck Fracture,Femur Neck Fracture
D005271	Femur Head Necrosis	Aseptic or avascular necrosis of the femoral head. The major types are idiopathic (primary), as a complication of fractures or dislocations, and LEGG-CALVE-PERTHES DISEASE.	Aseptic Necrosis of Femur Head,Avascular Necrosis of Femur Head,Necrosis, Aseptic, of Femur Head,Necrosis, Avascular, of Femur Head,Avascular Necrosis Of Femoral Head, Primary,Femoral Head, Avascular Necrosis Of,Ischemic Necrosis Of Femoral Head,Femur Head Necroses,Head Necrosis, Femur,Necrosis, Femur Head
D005593	Fracture Fixation, Internal	The use of internal devices (metal plates, nails, rods, etc.) to hold the position of a fracture in proper alignment.	Osteosynthesis, Fracture,Fixation, Internal Fracture,Fixations, Internal Fracture,Fracture Fixations, Internal,Fracture Osteosyntheses,Fracture Osteosynthesis,Internal Fracture Fixation,Internal Fracture Fixations,Osteosyntheses, Fracture
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013523	Surgical Equipment	Nonexpendable apparatus used during surgical procedures. They are differentiated from SURGICAL INSTRUMENTS, usually hand-held and used in the immediate operative field.	Equipment, Surgical,Equipments, Surgical,Surgical Equipments