Key result
Displaced femoral neck fractures treated with internal fixation had a higher rate of healing complications (36% vs 7%) and lower quality of life (0.51 vs 0.76) than undisplaced fractures.
Why the study?
Does fracture displacement worsen quality of life and healing complications in elderly patients with femoral neck fractures treated with internal fixation?
Population
90 elderly patients with an acute femoral neck fracture after a fall, without severe cognitive dysfunction…
Comparison
Closed reduction and percutaneous internal… vs Closed reduction and percutaneous internal…
Design
Cohort
Follow-up
mean 26 months
Authors
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Displaced fractures were associated with higher complications and lower QoL after fixation; leaves open optimal surgical approach.
Cohort (n=90)
No
Does fracture displacement worsen quality of life and healing complications in elderly patients with femoral neck fractures treated with internal fixation?
Absolute Event Rate: 36% vs 7%
Elderly patients with displaced femoral neck fractures treated with internal fixation experience higher complication rates and worse quality of life compared to those with undisplaced fractures.
Tidermark et al. (2003) conducted a cohort in Acute femoral neck fracture (n=90). Displaced (Garden III and IV) femoral neck fractures vs. Undisplaced (Garden I and II) femoral neck fractures was evaluated on Fracture healing complications. Displaced femoral neck fractures treated with internal fixation had a higher rate of healing complications (36% vs 7%) and lower quality of life (0.51 vs 0.76) than undisplaced fractures.
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