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Archives of Orthopaedic and Trauma Surgery

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Open Access 01-11-2018 | Orthopaedic Surgery

Femoral shortening does not impair functional outcome after internal fixation of femoral neck fractures in non-geriatric patients

Authors: Thomas Haider, Jakob Schnabel, Julian Hochpöchler, Gerald E. Wozasek

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 11/2018

Abstract

Introduction

Aim of this study was to investigate the incidence and extent of femoral shortening in non-geriatric patients after internal fixation of femoral neck fractures in relation to the clinical outcome at mid-term follow-up.

Materials and methods

Reviewing our admission data, we identified non-geriatric patients (18–65 years) with femoral neck fractures treated with either dynamic hip screw or cancellous screws between 2007 and 2015. Patients were then contacted and invited to a follow-up clinical investigation including whole-leg standing X-rays.

Results

A total of 40 patients with a mean age at surgery of 52 ± 9 years returned for the follow-up examination. Overall, 31 patients (77.5%) had undergone a dynamic hip screw fixation, while 9 patients were treated with cancellous screws (22.5%). The median follow-up time was 65.5 months (5.5 years). We observed shortening of the ipsilateral femur neck in the majority of cases (92.5%). Still, functional outcome in the overall study population was excellent with a median Harris Hip Score of 96.

Conclusions

Femoral neck shortening is common in non-geriatric patients after internal fixation of femoral neck fractures. Nonetheless, observed excellent functional outcome at mid-term follow-up supports joint-preserving strategies in non-geriatric femoral neck fractures.

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Title: Femoral shortening does not impair functional outcome after internal fixation of femoral neck fractures in non-geriatric patients
Authors: Thomas Haider
Jakob Schnabel
Julian Hochpöchler
Gerald E. Wozasek
Publication date: 01-11-2018
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 11/2018
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-018-3011-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Femoral shortening does not impair functional outcome after internal fixation of femoral neck fractures in non-geriatric patients

Abstract

Introduction

Materials and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusions

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