Not All Garden-I and II Femoral Neck Fractures in the Elderly Should Be Fixed
| Autor: | Mohit Bhandari, Faith Investigators, Marc F. Swiontkowski, Ugochukwu N. Udogwu, Gerard P. Slobogean, Sheila Sprague, Marckenley Isaac, Kanu Okike |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Reoperation Scientific Articles medicine.medical_specialty Standard of care Radiography medicine.medical_treatment Femoral Neck Fractures Fracture Fixation Internal 03 medical and health sciences Age Distribution 0302 clinical medicine Fracture fixation medicine Humans Internal fixation Orthopedics and Sports Medicine 030212 general & internal medicine Sex Distribution Aged Aged 80 and over 030222 orthopedics business.industry social sciences General Medicine Middle Aged Arthroplasty Prosthesis Failure Surgery Multicenter study Female business Tilt (camera) |
| Zdroj: | J Bone Joint Surg Am |
| ISSN: | 1535-1386 0021-9355 |
| DOI: | 10.2106/jbjs.18.01256 |
| Popis: | Internal fixation is currently the standard of care for Garden-I and II femoral neck fractures in elderly patients. However, there may be a degree of posterior tilt (measured on preoperative lateral radiograph) above which failure is likely, and primary arthroplasty would be preferred. The purpose of this analysis was to determine the association between posterior tilt and the risk of subsequent arthroplasty following internal fixation of Garden-I and II femoral neck fractures in elderly patients. METHODS: This study is a preplanned secondary analysis of data collected in the FAITH (Fixation using Alternative Implants for the Treatment of Hip fractures) trial, an international, multicenter, randomized controlled trial comparing the sliding hip screw with cannulated screws in the treatment of femoral neck fractures in patients ≥50 years old. For each patient who sustained a Garden-I or II femoral neck fracture and had an adequate preoperative lateral radiograph, the amount of posterior tilt was categorized as |
| Databáze: | OpenAIRE |
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