![]() ![]() Total hip replacement is the preferred treatment option for these cases. However, less than half of these cases require salvage procedures. We found no correlation between the duration of the preoperative period and late complications.ĪVN is the most common complication of displaced femoral neck fractures. In the statistical analysis, a negative correlation was observed between the degree of AVN and clinical findings. Nonunion of fracture was seen in 5 cases. However, only 5 of them had unsatisfactory clinical results requiring salvage surgery as total hip replacement. AVN of the femoral head was observed in 13 cases (40%). Mean follow-up period was 49+/-29 months (range 24-126). Clinical evaluation was performed based on the scoring system described by Harris. AVN was determined by using Ficat and Arlet criteria. All the fractures were reduced and fixed by closed reduction under fluoroscopy control. Although some of them admitted to hospital more than 8 hours after initial trauma, all underwent internal fixation as early as possible. This study consisted of 32 cases that had displaced femoral neck fractures. In this retrospective series, we evaluated the complications of internally fixed femoral neck fractures. Despite all advances, nonunion and avascular necrosis (AVN) of the femoral head are the major complications necessitating salvage procedures. 2003 9:82–6.Femoral neck fractures in young patients are the emergent injuries that require precise reduction and stable fixation. Cause Most hip fractures result from low-energy falls in elderly patients who have weakened or osteoporotic bone. Sub-or intertrochanteric fracture following screw fixation of an intracapsular proximal femoral fracture:True complication or technical error? Swiss Surg. Most hip fractures occur in the femoral neck or intertrochanteric area. Pelet S, Leyvraz PF, Garofalo R, Borens O, Mouhsine E. Subtrochanteric fracture after cannulated screw fixation of femoral neck fractures:A report of four cases. Subtrochanteric fracture:A rare but severe complication after screw fixation of femoral neck fractures in the elderly. Similar outcome of femoral neck fractures treated with Pinloc or Hansson Pins:1-year data from a multicenter randomized clinical study on 439 patients. Kalland K, Åberg H, Berggren A, Ullman M, Snellman G, Jonsson KB, et al. The role of plate design and pin configuration in a synthetic bone block model. Increased torsional stability by a novel femoral neck locking plate. In osteosynthesis of the femoral neck fracture using Hansson Pinloc, we should keep in mind that subtrochanteric fracture is a possible post-operative complication.įemoral neck fracture Osteosynthesis Post-operative complication Subtrochanteric fracture.Ĭopyright: © Indian Orthopaedic Research Group.īrattgjerda JE, Loferer M, Niratisairaka S, Steen H, Strømsøec K. Surgeons should be cognizant of this post-operative complication before using this system. 9 weeks after the second surgery, the patient could get bone union and walk using double T-canes. We get in trouble with removing Hansson Pinloc system due to secondary fracture, and of bone defect. The patient underwent removal of the instrumentation and internal fixation with a long femoral nail. At 4 weeks after surgery, she suffered subtrochanteric fracture without any episode of trauma. She underwent closed reduction and internal fixation using Hansson Pinloc system. A 67-year-old woman was diagnosed with a femoral neck fracture of Garden stage I after a fall. We present our experience of this complication after internal fixation using Hansson Pinloc system which is a new design implant for femoral neck fracture. Subtrochanteric fractures after internal fixation of femoral neck fractures are rare but severe complications. We present a case with subtrochanteric fracture after internal fixation using Hansson Pinloc. Only several Japanese literatures reported some cases with this post-operative complication. However, subtrochanteric fracture after internal fixation using Hansson Pinloc has not been reported in the English literature including the above report. Recently, the outcome of a randomized clinical study comparing Hansson Pinloc and conventional Hansson pins was published. Dong, Effect of ERAS Combined with Comfortable Nursing on Quality of Life and Complications in Femoral Neck Fractures of the Aged People, Evidence-Based Complementary and Alternative Medicine, vol. Hansson Pinloc has been used for femoral neck fracture in some countries including Sweden and Japan. In biomechanical trials, the novel plate design with its pin configuration enhanced torsional stability. To explore the effect of enhanced recovery after surgery (ERAS) combined with comfortable nursing on the quality of life and complications of elderly patients with femoral neck fracture (FNF). Hansson Pinloc system consists of three pins locking into a plate. ![]()
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