Journal
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
Volume 40, Issue 3, Pages 274-276Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.injury.2008.05.023
Keywords
Hip fracture; Femoral neck fracture; Internal fixation; Osteoporotic fracture; Avascular necrosis; Non-union; Rehabilitation
Ask authors/readers for more resources
224 patients with undisplaced femoral neck fractures treated with two parallel Hansson hook pins were studied. After a mean follow-up time of 32 months (S.D. 5.2), 15% had a reoperation. 11% were considered failures, mostly avascular necrosis, and 9% had a secondary arthroplasty. Possible risk factors for poor outcome were analysed. Neither high age nor surgical delay was associated with increased failure rate. Survivors received a questionnaire, and 40% stated that they had mild or severe pain in the hip when walking, 25% had pain, at rest and 25 stated that they thought always or often about their injury. The younger the patient, the more frequent the report of subjective pain. 51% of individuals under 80 years reported pain when walking, compared to 27% aged 80 or older (p = 0.016). Corresponding numbers for pain at rest were 32 and 12% (p = 0.034). The failure rate did not differ between the age groups, but the younger patients had more reoperations (p = 0.046) and thought more frequently about their injury (p = 0.016). An undisplaced femoral neck fracture is a major injury with a long-term daily discomfort in about 25% and clinical failure in 11%. (C) 2008 Elsevier Ltd. All rights reserved.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available