The prevalence of fracture extension in displaced femoral neck fractures in the elderly

Autor: Kyle Matsuo Natsuhara, MD, Robert Downey Boutin, MD, Mark Andrew Lee, MD, John Patrick Meehan, MD
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: OTA International, Vol 2, Iss 4, p e033 (2019)
Druh dokumentu: article
ISSN: 2574-2167
00000000
DOI: 10.1097/OI9.0000000000000033
Popis: Abstract. Objective:. Arthroplasty is the common treatment for intracapsular femoral neck fractures in the elderly. Recent studies have shown that there may be more overall complications related to uncemented hemiarthroplasty compared to cemented, including more subsidence, intraoperative fractures, and postoperative fractures. Uncemented femoral components rely on a press fit, and the risk of these complications would be expected to increase in patients with unrecognized distal extension of femoral neck fractures. The purpose of this study is to determine the frequency of fracture extension of displaced femoral neck fractures in the elderly population. Methods:. The electronic medical record database at our institution was retrospectively reviewed to search for consecutive reports from 2005 to 2015 of patients 65 years or older that sustained an intracapsular femoral neck fracture who had computed tomography (CT) examinations of the injury. Exclusion criteria were CTs that were not fine cut (
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