Outcome of Cloverleaf Locking Plate Fixation for Femoral Neck Fractures in Young Adults
- Author:
Ismail HD
;
Phedy
;
Oktavian Irawadi Purba
;
Bambang Gunawan
;
Djoko Simbardjo
- Publication Type:Journal Article
- Keywords:
Femoral neck fracture, young adult, cloverleaf locking plate, Harris hip score, union rate
- From:Malaysian Orthopaedic Journal
2012;6(1):30-34
- CountryMalaysia
- Language:English
-
Abstract:
Femoral neck fractures in young adults remain a major
problem in orthopaedics. Although treatments using
cannulated screws and sliding hip screws are widely
accepted, they pose significant clinical challenges. In the
present study, we evaluated the outcome of treatment using
cloverleaf locking plate fixation (augmented with the
addition of addition of nonvascularised autologous bone
grafts for neglected fracture). Fourteen patients were
investigated in this cross-sectional study. Union times and
Harris hip scores were analysed by independent T-test based
on displacement (displaced vs. nondisplaced) and type (acute vs. neglected) of fracture. No difference in union time was found between acute and neglected groups and between nondisplaced and displaced fractures. Harris hip scores were similar between acute and neglected groups and between non- and displaced group. Cloverleaf locking plate fixation is a viable alternative method for stable fixation of femoral neck fractures in young adults.
- Full text:W020160108346424818294.pdf