Factors Influencing the Outcome of Osteosynthesis in the Fracture of the Femoral Neck in Young Adult Patients.

Autor: Ramallo DA; Centro de Trauma, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil., Kropf LL; Centro de Trauma, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil., Zaluski AD; Centro de Trauma, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil., Cavalcanti ADS; Centro de Pesquisa Clínica, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil., Duarte MEL; Centro de Pesquisa Clínica, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil., Guimarães JAM; Centro de Trauma, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil.; Centro de Pesquisa Clínica, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil.
Jazyk: angličtina
Zdroj: Revista brasileira de ortopedia [Rev Bras Ortop (Sao Paulo)] 2019 Jul; Vol. 54 (4), pp. 408-415. Date of Electronic Publication: 2019 Aug 20.
DOI: 10.1016/j.rbo.2017.12.021
Abstrakt: Objectives  To evaluate the factors that influence the outcome of osteosynthesis after closed reduction of the fracture of the femoral neck in young adult patients. Methods  A retrospective study was conducted, reviewing the data of patients operated in a large orthopedic hospital from 2003 to 2011; a total of 81 patients met the inclusion criteria. The time interval between the fracture and the surgery, the initial fracture deviation, the quality of the reduction, and the placement of the implant were evaluated. Results  The present study observed a strong relationship between the quality of the reduction and therapeutic success. The degree of the initial deviation and the time elapsed between the initial trauma and the osteosynthesis did not influence the surgical outcome regarding bone consolidation. The correct positioning of the implants was associated with a satisfactory evolution in the postoperative period. Conclusion  The quality of the reduction and the positioning of the implants are factors that influence the results of osteosynthesis in fractures of the femoral neck in young adult patients.
Databáze: MEDLINE
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