Research progress of caput femoris posterior tilt and its impact on prognosis in nondisplaced femoral neck fractures.
10.12200/j.issn.1003-0034.2023.10.012
- Author:
Rong-Yao YU
1
;
Qing-Jiang PANG
2
;
Xian-Jun CHEN
2
;
Xiao YU
2
;
Lin SHI
2
;
Cheng-Hao WANG
2
;
Sheng YU
2
;
Chen-Tong PAN
1
Author Information
1. Ningbo University, Ningbo 315211, Zhejiang, China.
2. Department of Orthopaedics, Ningbo Huamei Hospital, University of Chinese Academy of Sciences, Ningbo 315000, Zhejiang, China.
- Publication Type:Journal Article
- Keywords:
Femoral neck fracture;
Nondisplaced;
Posterior comminution fracture;
Posterior tilt
- MeSH:
Humans;
Prognosis;
Postoperative Complications/epidemiology*;
Femoral Neck Fractures/complications*;
Femur Neck;
Reoperation;
Fracture Fixation, Internal/methods*;
Retrospective Studies
- From:
China Journal of Orthopaedics and Traumatology
2023;36(10):969-974
- CountryChina
- Language:Chinese
-
Abstract:
There are still many unresolved problems in the treatment and prognosis of nondisplaced femoral neck fractures, such as nonunion and avascular necrosis of the caput femoris .In order to reduce the risk of various complications after non-displaced femoral neck fractures, the caput femoris posterior tilt of femoral neck fractures and its impact on prognosis have attracted more and more attention. A large number of scholars' studies have found that when the posterior tilt exceeds 20°, the risk of internal fixation failure increases significantly. Based on this concept, we can choose to use primary artificial joint replacement instead of three-screw internal fixation according to the different posterior tilt angles of patients to reduce the incidence of postoperative complications. At the same time, our analysis found that comminution of the posterior segment of the femoral neck would lead to an increase in the posterior inclination angles. The purpose of this review was to investigate the relationship between caput femoris posterior tilt of femoral neck fractures and surgical outcome, and to introduce a new method for measuring caput femoris posterior tilt of the femoral neck.
