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BMC Musculoskeletal Disorders

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Open Access 01-12-2016 | Research article

Osteosynthesis versus endoprosthesis for the treatment of femoral neck fracture in Asian elderly patients

Authors: Joon Soon Kang, Yoon Sang Jeon, Chi Hoon Ahn, Tae Hoon Roh

Published in: BMC Musculoskeletal Disorders | Issue 1/2016

Abstract

Background

The purpose of this study was to compare the clinical results between osteosynthesis and endoprosthesis for femoral neck fractures in asian elderly patients, and to analysis the factors that may affect the failure of osteosynthesis.

Methods

A retrospective review of 382 hips over 65-year old with femoral neck fracture was done. Within non-displaced fracture group, 81 cases (56.6 %) underwent internal fixation (IF) and with 62 cases (43.3 %) having bipolar hemiarthroplasty (BPHA). As for displaced fracture group, 60 cases (25.1 %) underwent internal fixation (IF) with 179 cases (74.8 %) having BPHA. Average follow-up period for the patients was 36.8 months. Analysis was conducted on complications depending on fracture types and osteoporosis, and clinical evaluation was done on gait capability by using Koval walking ability.

Results

In non-displaced group, BPHA group showed statistically significant lower percentage of complications compared to IF group, but re-operation rate and the degradations of Koval score were no significant differences. In displaced group, complication, re-operation rate and the degradations of Koval score of BPHA group were statistically better than those of IF group. Association between osteoporosis and non-union is no statistically significant.

Conclusions

Endoprosthetic replacement could be a primary option for displaced femoral neck fracture in elderly asian patients. The choice of surgical treatment methods of non-displaced fracture in elderly asian patients should be determined carefully considering the age and the presence of osteoporosis.

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Title: Osteosynthesis versus endoprosthesis for the treatment of femoral neck fracture in Asian elderly patients
Authors: Joon Soon Kang
Yoon Sang Jeon
Chi Hoon Ahn
Tae Hoon Roh
Publication date: 01-12-2016
Publisher: BioMed Central
Published in: BMC Musculoskeletal Disorders / Issue 1/2016
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/s12891-016-1123-7

ACC 2024 Congress

Springer Medicine

Osteosynthesis versus endoprosthesis for the treatment of femoral neck fracture in Asian elderly patients

Abstract

Background

Methods

Results

Conclusions

ACC 2024 Congress

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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