Treatment of femoral neck fractures in Hungary with the Manninger screw

Autor: K. Fekete, P. Cserháti, L. Tasnádi, T. Laczkó, I. Flóris
Rok vydání: 2002
Předmět:
Zdroj: Injury. 33:19-23
ISSN: 0020-1383
DOI: 10.1016/s0020-1383(02)00327-3
Popis: In Hungary fresh intracapsular femoral neck fractures are traditionally treated by osteosynthesis, 60% of them (3,500 cases annually) with the Manninger screw. The authors based the development of the cannulated screw fixation technique on results from research done in Sweden and on the internationally acknowledged results of their own expert group. This group has worked on the treatment of femoral neck fractures for 48 years. From 1. Nov. 1990 to 31. Dec. 2001 the authors performed 2,871 procedures using percutaneous double cannulated screw fixation combined with a special tension band plate. Follow-up assessment after 3-4 years was possible for two groups of 489 and 240 patients respectively. Results / Conclusions: It is important that the fractures are exactly reduced as soon as possible after the accident. A stable fixation configuration with one or two fixed-angle plates and three screws clearly lowers the rate of redisplacement in cases of unstable fracture (approx. 20-25% of all fractures). The authors were able to achieve an early complications rate of less than 6% by acquiring many years of experience and by modifying the method to suit the individual patient and fracture. The mortality rate was low, especially considering that patients in poor general condition, for whom no operation other than percutaneous screw fixation could have been considered, were also treated.
Databáze: OpenAIRE
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