Key result
In young adults with femoral neck fractures, the incidence of aseptic necrosis was 18.7% after more than 2 years of follow-up.
Why the study?
Does the use of large-bore internal fixatives compared to threaded devices affect the need for secondary procedures in young adults with femoral neck fractures?
Observational (n=17)
Does the use of large-bore internal fixatives compared to threaded devices affect the need for secondary procedures in young adults with femoral neck fractures?
Femoral neck fractures in young adults have an 18.7% incidence of aseptic necrosis, and large-bore internal fixatives may require secondary procedures more often than threaded devices.
Answers are grounded in this paper and cite their sources.
Aseptic necrosis risk in young femoral neck fracture patients warrants extended surveillance; leaves open optimal fixation strategies in high-energy trauma.
In 17 patients with femoral neck fractures who were between 15 and 40 years old the incidence of aseptic necrosis in patients followed more than 2 years was 18.7 per cent. The fracture was associated with other severe injuries in 40 per cent of the cases, probably reflecting the level of violence necessary to induce the fracture in young adults. Two of the 7 fractures treated with large-bore internal fixatives required secondary procedures to correct fracture displacement (this was not a complication with threaded devices). While the incidence of aseptic necrosis is no higher than that in other adult series, subsequent degenerative changes may supervene in many femoral neck fractures in this age group.
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ASKIN et al. (1976) conducted an observational in Femoral neck fractures (n=17). Femoral neck fractures was evaluated on Aseptic necrosis. In young adults with femoral neck fractures, the incidence of aseptic necrosis was 18.7% after more than 2 years of follow-up.
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