MANAGEMENT OF HIGH PAUWELS’ FEMORAL NECK FRACTURES IN YOUNG ADULTS
Main Article Content
Keywords
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Abstract
Femoral neck fractures are frequent orthopedic injuries with treatment and costs presenting a major public health problem. The optimal treatment is debated based on patient variables, fracture displacement, and fracture pattern. When proceeding with internal fixation, there are challenges in both young and old patients. Optimizing stability of femoral neck fracture fixation is important in obtaining a successful outcome. The mechanical problems and strategies for achieving optimal stability differ depending on patients’ age and type of fracture.
References
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2. Bartonı´cek J. Pauwels’ classification of femoral neck fractures: correct inter pretation of the original. J Orthop Trauma. 2001; 15:358-60.
3. Chua D, Jaglal SB, Schatzker J. Predictors of early failure of fixation in the treatment of displaced subcapital hip fractures. J Orthop Trauma. 1998; 12: 230-4.
4. Ficat RP. Idiopathic bone necrosis of the femoral head. Early diagnosis and treatment. J Bone Joint Surg Br. 1985; 67:3-9.
5. Garden RS. Malreduction and avascular necrosis in subcapital fractures of the femur. J Bone Joint Surg Br. 1971; 53:183-97.
6. Gjertsen JE, F.Smyth EH, Shah VM. The significance of good reduction and fixation in displaced subcapital fractures of the femur. Injury. 1974; 5:197-209.
7. Swiontkowski MF, Harrington RM, Keller TS, Van Patten PK. Torsion and bending analysis of internal fixation techniques for femoral neck fractures: the role of implant design and bone density. J Orthop Res. 1987; 5:433-44.