Key result
Osteosynthesis with fibular bone grafting and hip screw fixation for late femoral neck fractures yielded good clinico-radiological scores in 100% of basal and 57.4% of transcervical fractures.
Why the study?
Intracapsular femoral neck fractures remain an unresolved challenge for orthopedic surgeons, with numerous osteosynthesis methods and persistent clinical difficulties.
Does osteosynthesis with fibular bone grafting and hip screw fixation improve clinico-radiological outcomes in young adults with late femoral neck fracture?
Observational (n=64)
No
Does osteosynthesis with fibular bone grafting and hip screw fixation improve clinico-radiological outcomes in young adults with late femoral neck fracture?
Osteosynthesis with fibular bone grafting and hip screw fixation is a simple and cost-effective procedure with good results for late femoral neck fractures in young adults, particularly for transcervical and basal types.
Answers are grounded in this paper and cite their sources.
May support internal fixation strategies in select patients; leaves open optimal approach versus arthroplasty in displaced cases.
Background: Intracapsular fracture neck femur has always presented great challenges to orthopedic surgeons and still it continues to be a burning problem; thus, it is often called as an unsolved fracture. The femoral neck fracture is probably the fracture for which there exists the largest number of methods of osteosynthesis. The above quotation reflects the defeatist attitude that has long been held by medical and lay personal toward femoral neck fractures. Materials and Methods: The study was conducted in F.H. Medical College and Hospital, Agra. The cases of this study were selected from the patients attending the outpatient Department of Orthopaedics and from those arriving at the Emergency Department of F.H. Medical College and Hospital, Agra from November 2017 to December 2020. A total of 64 young adults with femoral neck fracture treated by a fibular bone graft with hip screw fixation were included in the study. All the fractures were more than 3 weeks old. Each patient was subjected to detailed clinical and radiological examination along with routine pathological investigations. Result: Results were assessed in 60 patients, whereas 4 patients were excluded from the study due to loss of follow-up. In the subcapital type, 33.3% of cases were found to have good score, 44.4% of cases had fair score, and rest of the cases were found to have poor score. In the transcervical type, 57.4% of cases scored good, 36.1% cases scored fair, and rest of the cases scored poor. In the basal type, 100% of cases were found to have good score. Therefore, transcervical and basal types of fractures have a good prognosis as compared with the subcapital type. The average follow-up was 16.4 months. Out of 60 patients assessed clinico-radiologically. Conclusion: We conclude that treatment of late femoral neck fracture is a simple and cost-effective procedure in young adults with good results.
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Pathak et al. (2022) conducted an observational in Late Femoral Neck Fracture (n=64). Osteosynthesis with fibular bone grafting and hip screw fixation was evaluated on Clinico-radiological score. Osteosynthesis with fibular bone grafting and hip screw fixation for late femoral neck fractures yielded good clinico-radiological scores in 100% of basal and 57.4% of transcervical fractures.
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