Clinical Results of Femoral Neck Fractures after Hemiplegia

Autor:	Tatsukuni Namihira
Rok vydání:	2002
Předmět:	medicine.medical_specialty Gamma nail business.industry Fracture site medicine.disease medicine.disease_cause Femoral Neck Fractures Surgery Weight-bearing medicine.anatomical_structure Hospital discharge medicine Dementia Major complication business Femoral neck
Zdroj:	Orthopedics & Traumatology. 51:713-716
ISSN:	1349-4333 0037-1033
DOI:	10.5035/nishiseisai.51.713
Popis:	We report 13 cases of femoral neck fracture with hemiplegia that were surgically treated. Gait ability was investigated before injury, at hospital discharge, and at follow-up. There were 13 cases (9 females and 4 males) whose age ranged from 70 to 91 years (mean: 79 years). We treated all 13 patients with gamma nail. Nine patients (69.2%) regained their pretrauma walking ability. Four patients with dementia or major complications had poor results regarding the regaining of their pretrauma walking ability. Hemiplegia did not influence the results of the patients. Prompt firm fixation at the fracture site by gammma nailing allowed the patient to get out of bed and start weight bearing in the shortest postoperative span.The results suggest that operative treatment is essentially effective in femoral neck fractures even if they are hemiplegic.
Databáze:	OpenAIRE
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