Treatment of Femoral Neck Fracture (Twenty-nine Cases Treated by Multiple Knowles Pinning and Compression Hip Screw)
10.4055/jkoa.1981.16.3.575
- Author:
Myung Chul YOO
;
Bong Kun KIM
;
Jin Whan AHN
;
Young Hak SONG
;
Soon Mo KHANG
- Publication Type:Original Article
- Keywords:
Femoral neck fracture;
Multiple Kaowles pinning;
Compression hip acrew
- MeSH:
Agriculture;
Femoral Neck Fractures;
Femur Neck;
Hip;
Humans;
Internal Fixators;
Neck;
Necrosis
- From:The Journal of the Korean Orthopaedic Association
1981;16(3):575-586
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
It has been emphasized that treatment of hemoral neck fracture is early anatomical reduction and rigid internal fixation to reduce severe complications such as avascular necrosis or non-union.Operative treatment were developed recently with development of radiological technique. This study reviewed twenty-nine patients of femoral neck fracture treated by internal fixation between December 1973 and December 1979. There are eleven casesof Garden's stage I or II fracture with multiple Knowles pinning and eighteen cases (All Gardens stage) treated with compression hip screw, and followed for a minimum of nine months with an average eighteen months. The results were as follows; 1. Eleven cases with minimal displaced fracture (Garden's stage I or II) treated by multiple Knowles pinning were revealed good results. 2. In total eighteen cases treated by compression hip screw, nine cases (Garden's stage I or II) were revealed good results and other nine cases (Garden's stage I or II) were revealed fair or poor results. 3. Eleven cases of mlutiple Knowles pinning and nine case of compressian hip screw used for undisplaced fracture (Garden's stage I or II) were revealed good results without regard to internal fixation devices. 4. Avascular necrosis were four cases in nine cases(44%) of displaced fracture. 5. Non-union were not found in this aeries.
