Outcomes of Femoral Neck Fractures Treated with Cannulated Internal Fixation in Elderly Patients: A Long‐Term Follow‐Up Study

• DOI: 10.1111/os.12683
• Publication Date: 2020-05-28T07:20:16Z
• Authors: Fa‐xin Ju; Rui‐xing Hou; Jin Xiong; Hong‐fei Shi; Yi‐xin Chen; Jun‐fei Wang
• Keywords: Harris Hip Score; Avascular Necrosis; Supine position

Objectives To evaluate the long‐term efficacy of cannulated internal fixation in patients who sustain femoral neck fracture (FNF) and risk factors influencing outcomes. Methods This retrospective study analyzed data from 73 elderly aged ≥60 years old, hospitalized for FNF treated with between August 2008 July 2016. The inclusion criteria were: (i) years; (ii) recent fracture, times injury ranging 12–72 h; (iii) underwent Garden II–IV closed reduction fixation. Patients were classified based on type Pauwels angle. Clinical radiographs before after surgery collected. Subsequently, was performed patient supine position, under general or lumbar epidural anesthesia. Closed until satisfactory quality achieved. weight all included <75 kg, thus, minimal performed. ischemic necrosis head diagnosed by considering symptoms, signs, radiological findings. Harris hip scores used to postoperative recovery function. Furthermore, relationships rate head, angle score, age score analyzed. Results mean duration 1 ± 0.17 h blood loss approximately 15 mL. followed up 13–128 months, an average follow‐up 61 months. Among patients, 65 (89.0%) exhibited union, seven (9.6%) had necrosis, one (1.4%) nonunion. For there two, three as IV, III, II, respectively, two five II respectively. cases, four replacement. not significantly associated (χ 2 = 0.44, P > 0.05) 1.43, 0.05). I (0%) (4.3%) fractures a lower than those III (41.7%) ( < Conclusions Cannulated more suitable older Chinese I/II fractures.