J Korean Orthop Assoc.  1979 Jun;14(2):189-198. 10.4055/jkoa.1979.14.2.189.

A Clinical Observation of Femur Neck Fractures

• Paik KR

• KMID: 2460616
• DOI: http://doi.org/10.4055/jkoa.1979.14.2.189

Abstract

33 cases of the femur neck fractures experienced in the; Department of Orthopedic Surgery of Hanil Hospital were analyzed, and following results were obtained. 1. We obtained good result in 61% and fair result in 31% among the 33 cases when excluding 5 cases who died within 6 months after operation. 2. Good result was obtained in 80% out of 13 cases with the Sliding Compression Hip Screw. 3. We experienced 6 cases of nonunion (21%) and 5 cases of avascular necrosis (18%). Among those cases, 3 were treated with Austin-Moore prosthesis and total hip replacement was performed in 3 cases. 4. ln 4 among 6 cases of nonunion and 4 among 5 cases of avascular necrosis, unacceptable reduction was observed. 5. With pre-and post-operative internal rotation of the affected limb, only 2 cases had posteroinferior tilting of the femoral head. 6. In order to prevent the rotational malposition of the femoral head and relax the tightened soft tissues around the hip that were created by firmly manipulated lag screw, we added about 1/4 circle counter-clock wise rewind to the lag screw during the operation with the Sliding Compression Hip Screw.

MeSH Terms

Arthroplasty, Replacement, Hip
Extremities
Femoral Neck Fractures*
Femur Neck*
Femur*
Head
Hip
Necrosis
Orthopedics
Prostheses and Implants