Effect of posterior tilt of femoral head on prognosis following internal fixation of geriatric femoral neck fractures
10.3760/cma.j.cn115530-20201218-00772
- VernacularTitle:老年股骨颈骨折股骨头后倾对内固定治疗预后的影响
- Author:
Bo LI
;
Minghui YANG
;
Shiwen ZHU
;
Xinbao WU
- From:
Chinese Journal of Orthopaedic Trauma
2021;23(4):364-368
- CountryChina
- Language:Chinese
-
Abstract:
Although internal fixation is still a standard treatment for geriatric Garden Ⅰ/Ⅱ femoral neck fractures, it is reported to lead to a high rate of reoperation. Therefore, identification of risk factors for internal fixation failure can help a sensible decision-making in initial treatment. In recent years, many studies have suggested that posterior tilt of the femoral head before surgery may affect the rates of internal fixation failure and reoperation. Some studies have even recommended hip arthroplasty for geriatric Garden Ⅰ/Ⅱ femoral neck fractures. However, different studies adopted different measurement methods and thus obtained inconsistent results. By literature review, this article expounds on various measurement methods for femoral head tilt and correlation between posterior tilt of femoral head and prognosis after internal fixation, and compares therapeutic efficacy between internal fixation and hip arthroplasty, hoping to provide useful information and data for clinical treatment of geriatric Garden Ⅰ/Ⅱ femoral neck fractures.
