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. 2014 Feb 7;12(2):75-80.
doi: 10.1016/j.jor.2014.01.001. eCollection 2015 Jun.

Predictors of early failure in young patients with displaced femoral neck fractures

Stephen Gardner  1 , Michael J Weaver  2 , Seth Jerabek  3 , Edward Rodriguez  4 , Mark Vrahas  5 , Mitchel Harris  2
Affiliations

Predictors of early failure in young patients with displaced femoral neck fractures

Stephen Gardner et al. J Orthop. .

Abstract

Introduction: This study compares early failure rates of sliding hip screw (SHS) and cannulated screw (CS) constructs in young patients.

Methods: Patients <60 years of age, with displaced femoral neck fractures treated with CS or SHS fixation were included. Primary outcome was failure within 6 months.

Results: One patient (3%) with SHS fixation and 6 patients (21%) with CS fixation failed within 6 months (P = 0.04). Regression analysis demonstrated type of fixation (P = 0.005) and reduction quality (P = 0.04) are independent predictors of early failure.

Conclusions: SHS constructs demonstrate a significantly lower short-term failure rate than CS constructs.

Keywords: Complications; Femoral neck fracture; Predictors of failure; Young patients.

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Figures

Fig. 1
Fig. 1
Flow chart showing inclusion/exclusion of subjects in this study.
Fig. 2
Fig. 2
Kaplan–Meier curves for early fixation failure depicting that patients in the CS group faired worse (P = 0.014); the error bars are 95% CIs.
See this image and copyright information in PMC

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References

    1. Liporace F. Results of internal fixation of Pauwels type-3 vertical femoral neck fractures. J Bone Joint Surg Am. 2008 Aug 1;90:1654. - PubMed
    1. Protzman R.R., Burkhalter W.E. Femoral-neck fractures in young adults. J Bone Joint Surg Am. 1976 Jul;58:689–695. - PubMed
    1. Jain R., Koo M., Kreder H.J., Schemitsch E.H., Davey J.R., Mahomed N.N. Comparison of early and delayed fixation of subcapital hip fractures in patients sixty years of age or less. J Bone Joint Surg Am. 2002;84:1605–1612. The Journal of Bone and Joint Surgery. - PubMed
    1. Fortina M., Carta S., Crainz E., Urgelli S., Del Vecchio E., Ferrata P. Management of displaced intracapsular femoral neck fracture in young adult: why complications are still so high? Case report of posttraumatic avascular necrosis in a 30-year-old man and a brief review. J Trauma. 2009 Nov;67:E163–E166. - PubMed
    1. Duckworth A.D., Bennet S.J., Aderinto J., Keating J.F. Fixation of intracapsular fractures of the femoral neck in young patients: risk factors for failure. J Bone Joint Surg Br. 2011 Jun;93:811–816. - PubMed

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