Key result
Highly stable fixation devices linked to higher union and early complications versus less stable devices.
Why the study?
Optimal internal fixation device choice for femoral neck fractures of Garden Type III or IV remains unclear due to differing union and complication rates.
Does highly stable internal fixation improve union rates compared to less stable fixation in patients with Garden Type III or IV femoral neck fractures?
Comparison
Highly stable fixation devices (Calandruccio compression and Deyerle) vs less stable devices (Smith-Peterson nail with Knowles pins and Knowles pins alone)
Design
Cohort study
Authors
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May warrant caution with highly stable devices due to added complications; leaves open net benefit in Garden III/IV fractures without RCTs.
Cohort (n=290)
Does highly stable internal fixation improve union rates compared to less stable fixation in patients with Garden Type III or IV femoral neck fractures?
Highly stable fixation devices for femoral neck fractures improve union rates but are associated with more early complications compared to less stable devices.
MCCUTCHEN et al. (1982) conducted a cohort in Femoral neck fractures of the Garden Type III or IV (n=290). Highly stable fixation devices (Calandruccio compression and Deyerle devices) vs. Less stable devices (Smith-Peterson nail with Knowles pins and Knowles pins alone) was evaluated on Rate of union and early complications. Highly stable fixation devices (Calandruccio compression and Deyerle) had higher rates of union and early complications compared to less stable devices for femoral neck fractures.
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