Abstract
BackgroundFemoral neck fractures are urgent injuries that require precise reduction and stable fixation. In some cases, however, early treatment is not possible.ObjectivesThe present study aimed to evaluate long-term results of delayed fixation of femoral neck fractures using cannulated screws.Patients and MethodsThis retrospective descriptive-analytical study was conducted on 26 patients with femoral neck fractures. The patients were treated through a closed reduction and fixation method using cannulated screws. Patients were followed up for at least five years and the rate of complications was determined.ResultsIn this study, 26 patients with mean age of 34.3 years were assessed. Average time interval from injury to surgery was 46.4 ± 12.2 hours; 18 patients (69%) were operated on with more than 36 hours of delay. Incidence of AVN and nonunion was reported in 10 (38.4%) and 3 (11.5%) patients, respectively.ConclusionsTime plays an important role in treatment results of femoral neck fractures. To treat the fractures, closed reduction and fixation using cannulated screws may still be the best option.
Highlights
Femoral neck fractures are urgent injuries that require precise reduction and stable fixation
Due to the complex anatomy of the femoral neck and its unique blood supply, early treatment and fixation is of high importance (8)
Treatment goals for young patients suffering from femoral neck fractures include, improvement of fracture outcome through preserving the femoral head, prevention of non-union and avascular necrosis, and return of patients to their previous functional status with a quick rehabilitation (6, 8)
Summary
Femoral neck fractures are urgent injuries that require precise reduction and stable fixation. Objectives: The present study aimed to evaluate long-term results of delayed fixation of femoral neck fractures using cannulated screws. Intra-capsular femoral neck fractures are treated as an emergency in adults (younger than 60 years old) and quick efforts should be made to restore blood supply of the femoral head (1). Some believe that such cases should be regarded as “vascular emergencies” and operative interventions should be rendered within 6-8 hours (1, 2). Implication for health policy/practice/research/medical education: This study evaluates results of delayed surgical treatment of femoral neck fractures in adults. Long-Term Follow-Up Results of Delayed Fixation of Femoral Neck Fractures in Adults.
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