The Results of Treatment in Femoral Neck Fractures
10.4055/jkoa.1989.24.4.1046
- Author:
Kwaeng Woo KWON
;
Shin Kun KIM
;
Sang Wook LEE
;
Tae Kyu LEE
- Publication Type:Original Article
- Keywords:
Femoral neck fracture;
Internal fixation;
Endoprosthesis;
Total hip replacement
- MeSH:
Arthroplasty, Replacement, Hip;
Daegu;
Female;
Femoral Neck Fractures;
Femur Neck;
Humans;
Male;
Methods;
Rehabilitation
- From:The Journal of the Korean Orthopaedic Association
1989;24(4):1046-1051
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We clinically analyzed 53 patients of fresh femoral neck fractures who were treated in Daegu Catholic Hospital from Aug. 1980 to Apr. 1987: The end results of the surgical methods, i.e. internal fixation, endoprosthesis and total hip replacement, were compared in the 45 patients who were followed for more than 2 years. The results were as follows. 1. The most frequent age occurrence was different in sexes ; male was in the 8th decade (29%) and female was in the 6th decade(31%). 2. The most frequent cause of fracture was “fell from height” in male(43%) and slip down in female(47%).3. Mid cervical fracture was the most frequent in anatomical classification(49%) and 83% of fractures were displaced(Garden stage III & IV). 4. The results were evaluated by the modified Lunceford criteria which included the degree of patient's own satisfaction. The combined result of “excellent” and “good” were obtained in 75% of 20 internal fixation cases, 80% of 15 endoprosthesis cases and 71% of total hip replacement cases. It was concluded that we could get similar results by 3 surgical methods if reasonable criteria of indication were applied for each method: rehabilitation of patient can more important than osteosynthesis itself in the determination of indication of operative methods.
