Fixation of Unstable Femoral Neck Fractures in Adults, Review Article
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 72, Issue 5
Abstract
<strong>Backgroundː </strong>Femoral neck fracture is a common problem especially in young adults. There are different methods of fixation of unstable femoral neck fractures in adults, some of which are accompanied by complications. <strong>Aim of Study: </strong>A systematic review on the different methods of fixation of unstable femoral neck fractures in adults with clarifying the incidence of nonunion, avascular necrosis, displacement and other complications in each type of fixation. <strong>Methodsː </strong>A systematic review of literature was conducted on twelve studies (556 patients) published in literature using different methods of fixation with inclusion criteria includingː English literature, human studies on adults aged 18-70 years with unstable neck of femur fractures Pauwel grade 3. Exclusion criteria includingː in vitro studies, pathological and nonunited fractures in people aged below 18 or above 70 years with stable neck femur fractures Pauwel grade 1,2. <strong>Results: </strong>Targon femoral neck device had been provided to achieve highest rate of union with less complications than other methods of fixation but further evaluation of this device should be done within multiple studies in the future.Primary valgus osteotomy achieved a high union rate but still carries some complications especially delayed osteotomy site healing,coxa vara if improper reduction or fixation in addition to that itʾs technically demanding and needs special surgical skills.Medial buttress plate augmentation should be studied more and more in further studies with longer follow up periods and larger number of patients <strong>Conclusion:</strong> Targon femoral neck device had been provided to achieve highest rate of union with less complications than other methods of fixation but further evaluation of this device should be done within multiple studies in the future.
Authors and Affiliations
Eman Helal
Keywords
Related Articles
- EP ID EP584170
- DOI 10.12816/ejhm.2018.9520
- Views 110
- Downloads 0
Comparative Study between Effect of Sleeve Gastrectomy and Mini-Gastric Bypass on Weight Loss and Improvement of Co-Morbidities
Background: sleeve gastrectomy (SG) is one of the most popular procedures in the world. SG is a technically less complex procedure with short learning curve and effective weight loss, but it suffers from two outstanding...
The role of transobturaor vaginal tape (TOT) in the management of female stress urinary incontinence - 2 year follow up, Minia University experience
<strong>Objective: </strong>The aim of this study was to evaluate the effectiveness and safety of minimally invasive surgical procedure trans-obturator vaginal tape (TOT) in the treatment of female stress urinary inconti...
Ratio between Low Serum Maternal 25-Hydroxy vitamin D Concentration and the Risk of Preeclampsia
<strong>Background: </strong>Vitamin D may play a role in the etiology of preeclampsia by regulating the transcription and function of genes associated with placental function, including placental invasion, normal implan...
Comparative Study between 2D and 3D Ultrasound Cervicometry and Digital Assessment of the Cervix before Induction of Labour
<strong>Background: </strong>labor is the physiological process by which the fetus is expelled from the uterus to the outside world. It is defined as increase in myometrial activity or more precisely, a switch in the myo...
Awareness and Attitude towards Epilepsy among Saudi Arabia
<span>Background: </span><span>Epilepsy is a disorder of the brain characterized by an enduring predisposition to generate epileptic seizures and by the neurobiological, cognitive, psychological, and social consequences...