conclusions the rate of mortality in the first postoperative year was high; however, functional outcomes were satisfactory. most of the patients could return to their previous activity levels. in the current study, we found no significant correlation between delay in surgery, and mortality at the first postoperative year and hhs. background femoral neck fractures (fnf) are a challenging orthope...

In fractures of the femoral neck there may be displacement of different types accounting for the well recognised abduction and adduction fractures with valgus and varus displacement (Nystrom 1938). Between these types there is a transitional form that was described by Waldenstr#{246}m (1924) as the “ fracture impacted in adduction “ and by this author as “ the intermediary type “ (Linton 1944)....

This study was aimed at investigating the prevalence of hyponatremia in patients with intracapsular femoral neck fracture. All records containing clinical and laboratory information of patients admitted with femoral neck fractures to the Academic Hospital of Parma (Italy) during the year 2013 were retrieved from the hospital database. The control population consisted of subjects admitted to the...

The purpose of this study was to evaluate the efficacy and safety of the proximal femoral locking plate with cannulated screws for the treatment of femoral neck fractures. A prospective study was performed in 41 patients with femoral neck fractures treated with a proximal femoral locking plate with cannulated screws between January 2005 and December 2008. Twenty-five men and 16 women had a mean...

Fractures of the neck of femur in young adults tend, unlike their counterparts in older people, to be a relatively higherenergy injury and require timely and meticulous diagnosis and management [1-4]. Anatomical reduction and stable internal fixation are essentials for achieving the goals of treatment in this young population allowing preservation of the femoral head while minimizing rates of n...

A subtrochanteric femur fracture after cannulated screw fixation of a femoral neck fracture is a devastating complication. We hypothesized that an apex-distal screw orientation would tolerate higher loads to subtrochanteric fracture. Human cadaveric femora were instrumented with three cannulated screws in either an apex-distal or an apex-proximal configuration. Specimens were loaded along the m...

We describe a method of internal fixation for femoral neck fractures which has been newly developed to reduce the frequency of early complications. Two cannulated screws are inserted in the axis of the femoral neck to reach into the subchondral bone of the femoral head. The screws are inserted over guide pins and the tip of the screw is self-tapping and designed to provide good anchorage in the...

CONTEXT In healthy boys, fractures result from trauma of various severity, suggesting contribution of an intrinsic biomechanical fragility. OBJECTIVES Our objective was to characterize bone mineral mass, microstructure, and strength in boys with and without fractures. PARTICIPANTS AND DESIGN We followed 176 healthy boys from 7.4 ± 0.5 to 15.2 ± 0.5 (mean ± sd) yr of age. OUTCOMES Areal (a...

Surgery is the routine management for elderly individuals with femoral neck fracture, in order to reduce the morbidity and the mortality and to relieve pain. Sixteen elderly patients with displaced femoral neck fractures who were unfit for surgeries were treated conservatively. The mortality in this group was not higher than reported following surgical management. Close nursing care, physiother...

Fractures of the neck of the femur account for less than 1% of all paediatric fractures. The complications after this injury are very frequent, the most significant being avascular necrosis. Slipped capital femoral epiphysis is a well-known disorder of the hip in children that is characterised by displacement of the capital femoral epiphysis from the metaphysic through the physis. In the vast m...