Femoral Neck Fractures in Adults Treated With Internal Fixation
| Autor: | Dong Wang, Bing-fang Zeng, Gerard P. Slobogean, David J. Stockton, Andrew N. Pollak, Bao-Tong Ma |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male China medicine.medical_specialty Adolescent medicine.medical_treatment Bone Screws Population Nonunion Femoral Neck Fractures Fracture Fixation Internal Young Adult 03 medical and health sciences 0302 clinical medicine Fracture fixation medicine Humans Internal fixation Orthopedics and Sports Medicine Prospective Studies 030212 general & internal medicine education Prospective cohort study Femoral neck Fracture Healing 030222 orthopedics education.field_of_study business.industry Middle Aged medicine.disease Surgery Treatment Outcome medicine.anatomical_structure Multivariate Analysis Quality of Life Regression Analysis Female business Follow-Up Studies Cohort study |
| Zdroj: | Journal of the American Academy of Orthopaedic Surgeons. 25:297-303 |
| ISSN: | 1067-151X |
| DOI: | 10.5435/jaaos-d-15-00661 |
| Popis: | Although femoral neck fractures in young patients are rare and their complications are well-documented, there is a paucity of data on patient-reported outcomes for this population. The purpose of this study was to describe the quality of life and the effect of clinical complications on the outcomes of young patients with femoral neck fractures in a Chinese cohort. In this prospective observational cohort study, patients aged 18 to 55 years admitted to one of three participating trauma hospitals in China for treatment of a femoral neck fracture were recruited. The primary outcome was the patient's health-related quality of life using the Medical Outcomes Study 36-Item Short Form (SF-36) Health Survey at 1 year after injury. Associations between the primary outcome and potential predictors were explored with univariate and multivariate regression analysis. One hundred seven patients (mean age, 44 years) completed 1-year follow-up. Nearly all patients were treated with closed reduction and screw fixation. Nine cases of nonunion, 7 cases of malunion, and 11 cases of osteonecrosis were identified. The mean SF-36 Physical Component Score was 48.6 ± 8.5, and the mean Mental Component Score was 51.0 ± 7.4. Fracture displacement, quality of reduction, and nonunion were associated with a poor Physical Component Score outcome. Our results demonstrate that the quality of life for patients after closed reduction and screw fixation of femoral neck fractures is similar to that of the general population, particularly when complications of nonunion and malunion are avoided. Level I. |
| Databáze: | OpenAIRE |
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