Suggestions(2)
Exact(3)
Prior stabilization of the shaft aids in reducing the displaced neck fracture.
In one patient, nonanatomical reduction of the displaced neck fracture resulted in unacceptable rotational deformity of the limb after subsequent plating of the fractured shaft of the femur.
However, in displaced neck fractures, this protocol may result in unsatisfactory reduction of the neck fracture due to inadequate control over the distal fragment at the neck fracture site.
Similar(57)
Only 5 RCTs evaluated sliding hip screws versus cancellous screws (4 displaced femoral neck fractures, 1 undisplaced femoral neck fractures).
Patients with trochanteric fractures are operated with a sliding screw device, undisplaced femoral neck fractures with two parallel screws, and displaced femoral neck fractures with arthroplasty, mainly bipolar hemiarthroplasty [ 36].
Nail insertion may cause further displacement of an undisplaced or minimally displaced femoral neck fracture, which then may be difficult to reduce.
However, the long-term overall mortality associated with fixation for undisplaced femoral neck fracture was significantly lower than that of hemiarthroplasty for displaced femoral neck fracture.
Elderly subjects (60 years or older) with displaced femoral neck fracture are treated with hemiarthroplasty and patients with undisplaced femoral neck fracture are treated with internal fixation.
In our database, all undisplaced femoral neck fractures were treated with fixation, and more than 99%% of displaced femoral neck fractures were treated with hemiarthroplasty for subjects aged 60 years and above during the study period.
The long-term overall mortality associated with fixation for undisplaced femoral neck fracture in Taiwan was significantly lower than that of hemiarthroplasty for displaced femoral neck fracture.
We found that the short-term overall mortality and medical complication rates in patients who received undisplaced femoral neck fracture treated with fixation was approximately 1 % lower than that of patients whose displaced femoral neck fracture was treated with hemiarthroplasty.
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