Treatment of undisplaced femoral neck fractures in the elderly

Wei Chih Chen, Shang Won Yu*, I. Chuan Tseng, Juin Yih Su, Yuan Kun Tu, Wen Jer Chen

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

82 Scopus citations

Abstract

Background: While the treatment for displaced femoral neck fractures in the elderly (Garden types III and IV) is quite clear, the procedure for impacted or undisplaced femoral neck fractures (Garden types I and II) is still a subject of controversy. Methods: Thirty-seven (all >80 years old) patients with undisplaced femoral neck fractures were treated with osteosynthesis by cannulated screws fixation. The clinical outcomes were followed up retrospectively for at least two years. Results: The overall union rate was 94.59% (35 patients) at 6 months after primary internal fixation. The overall success rate was 83.78% (31 patients), and the overall failure rate was 16.22% (6 patients). Conclusions: Osteosynthesis with cannulated screws fixation is a simple, safe, economical, and reasonably effective procedure for the treatment of undisplaced femoral neck fractures in patients older than 80 years.

Original languageEnglish
Pages (from-to)1035-1039
Number of pages5
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume58
Issue number5
DOIs
StatePublished - 05 2005
Externally publishedYes

Keywords

  • Cannulated screw
  • Osteosynthesis Internal fixation
  • Singh index
  • Undisplaced femoral neck fracture

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