TY - JOUR PY - 2011// TI - Complication Rates Relating to the Degree of Displacement of Femoral Neck Fractures: a Clinical Study of 878 Internally Fixed Intracapsular Fractures JO - Journal of Orthopaedics and Trauma A1 - Parker, Martyn J. A1 - Lawrence, Christopher R. SP - 1 EP - 6 VL - 1 IS - online N2 - We undertook this large prospective study of intracapsular fractures treated with internal fixation to evaluate whether the degree of initial fracture displacement correlated to fracture healing complications including non-union and avascular necrosis. We classified intracapsular fractures based on anteroposterior and lateral radiographs, as undisplaced, partially displaced and fully displaced. In total 878 patients with a non-pathological intracapsular hip fracture included in this study were treated by fixation of the fracture with three cancellous screws. Overall complications of fracture healing were 23.2% for undisplaced, 31.1% for partially displaced and 45.6% for fully displaced fractures showing correlation between fracture displacement and complication rate. The difference between the three groups for the complications of non-union and total fracture healing complications was statistically significant with an increasing complication rate as the fracture became more displaced. Intracapsular hip fractures show a progressive increase in the occurrence of fracture healing complication with increasing degree of initial fracture displacement.

LA - SN - 2090-2921 UR - http://dx.doi.org/10.4303/jot/235398 ID - ref1 ER -