Why the study?
Does operation by specially devoted surgeons improve radiographic reduction and fixation in femoral neck fractures compared to general orthopedic surgeons?
Does operation by specially devoted surgeons improve radiographic reduction and fixation in femoral neck fractures compared to general orthopedic surgeons?
Having specially devoted surgeons perform femoral neck fracture operations significantly improves radiographic reduction and fixation compared to operations by general orthopedic surgeons.
Dedicated surgeons were associated with superior radiographic scores; leaves open whether this warrants specialized teams or improves patient outcomes.
A radiographic investigation was undertaken to determine whether an increased interest in femoral neck fractures improved the operative result. In 1977, all femoral neck fractures were operated on by any of 30 surgeons of the orthopedic department, but in 1981 all fractures were operated on by one of six specially devoted surgeons. Preoperative fracture classification was performed with three parameters and proved equal in the 1977 and 1981 groups of 105 and 114 fractures, respectively. The quality of fracture reduction, determined with four parameters, was improved somewhat. The position of the nail(s), also determined with four parameters, improved considerably. The technical result was better in Garden IV fractures than in Garden III fractures. An increased interest in femoral neck fracture treatment improved reduction and fixation.
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Johansson et al. (1986) studied this question.
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