Intracapsular fractures of the femoral neck. Retrospective analysis of factors influencing the operative result after osteosynthesis.

Dr.Atul Panghate; Dr.Arvind Arora

Volume : VI, Issue : IX, September - 2017

Intracapsular fractures of the femoral neck. Retrospective analysis of factors influencing the operative result after osteosynthesis.

Dr. Atul Panghate, Dr. Arvind Arora

Abstract :

Background:– The purpose of the study was to review the factor influencing the result associated with treatment of femoral neck fracture with internal fixation in 60 consecutive series of young patient

Method: – Between 2003 and 2007 sixty femoral neck fracture in 60 consecutive patient who were between the age 15 and 55years old treated with closed reduction and internal fixation with three cannulated cancellous screws at our institute fifty of sixty were displaced fractures and ten were nondisplaced fractures .The results and complication were retrospectively reviewed and factor like displacement (Garden�s classification), time of fixation since injury, quality of reduction were reviewed.

Results: – Twenty four (40%) were associated with the development of nonunion and thirty six (60%) of the sixty fractures healed after one operation. ten fractures (17%) were associated with the development of osteonecrosis, Fractures with a Garden classification of I and II have significantly better results than Garden III and IV (P<0.05). Fracture that fixed earlier(<48hrs) has significantly better outcome than those fixed after 48hrs, An unsuccessful reduction of the fracture had significant effect on the outcome.

Conclusion: – If internal fixation is considered, early fixation and perfect reduction should be aimed.