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Undisplaced femoral neck fractures-no problems? A consecutive study of 224 patients treated with internal fixation.

Rogmark, Cecilia LU ; Flensburg, Louise and Fredin, Hans (2009) In Injury 40. p.274-276
Abstract
224 patients with undisplaced femoral neck fractures treated with two parallel Hansson hook pins were studied. After a mean follow-up time of 32 months (S.D. 5.2), 15% had a reoperation. 11% were considered failures, mostly avascular necrosis, and 9% had a secondary arthroplasty. Possible risk factors for poor outcome were analysed. Neither high age nor surgical delay was associated with increased failure rate. Survivors received a questionnaire, and 40% stated that they had mild or severe pain in the hip when walking, 25% had pain at rest and 25 stated that they thought "always" or "often" about their injury. The younger the patient, the more frequent the report of subjective pain. 51% of individuals under 80 years reported pain when... (More)
224 patients with undisplaced femoral neck fractures treated with two parallel Hansson hook pins were studied. After a mean follow-up time of 32 months (S.D. 5.2), 15% had a reoperation. 11% were considered failures, mostly avascular necrosis, and 9% had a secondary arthroplasty. Possible risk factors for poor outcome were analysed. Neither high age nor surgical delay was associated with increased failure rate. Survivors received a questionnaire, and 40% stated that they had mild or severe pain in the hip when walking, 25% had pain at rest and 25 stated that they thought "always" or "often" about their injury. The younger the patient, the more frequent the report of subjective pain. 51% of individuals under 80 years reported pain when walking, compared to 27% aged 80 or older (p=0.016). Corresponding numbers for pain at rest were 32 and 12% (p=0.034). The failure rate did not differ between the age groups, but the younger patients had more reoperations (p=0.046) and thought more frequently about their injury (p=0.016). An undisplaced femoral neck fracture is a major injury with a long-term daily discomfort in about 25% and clinical failure in 11%. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Injury
volume
40
pages
274 - 276
publisher
Elsevier
external identifiers
  • WOS:000264961000010
  • PMID:19070851
  • Scopus:61549137053
ISSN
1879-0267
DOI
10.1016/j.injury.2008.05.023
language
English
LU publication?
yes
id
f5245101-c806-42f1-a75b-3a068e23b156 (old id 1276277)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/19070851?dopt=Abstract
date added to LUP
2009-01-09 11:18:04
date last changed
2016-10-13 04:25:35
@misc{f5245101-c806-42f1-a75b-3a068e23b156,
  abstract     = {224 patients with undisplaced femoral neck fractures treated with two parallel Hansson hook pins were studied. After a mean follow-up time of 32 months (S.D. 5.2), 15% had a reoperation. 11% were considered failures, mostly avascular necrosis, and 9% had a secondary arthroplasty. Possible risk factors for poor outcome were analysed. Neither high age nor surgical delay was associated with increased failure rate. Survivors received a questionnaire, and 40% stated that they had mild or severe pain in the hip when walking, 25% had pain at rest and 25 stated that they thought "always" or "often" about their injury. The younger the patient, the more frequent the report of subjective pain. 51% of individuals under 80 years reported pain when walking, compared to 27% aged 80 or older (p=0.016). Corresponding numbers for pain at rest were 32 and 12% (p=0.034). The failure rate did not differ between the age groups, but the younger patients had more reoperations (p=0.046) and thought more frequently about their injury (p=0.016). An undisplaced femoral neck fracture is a major injury with a long-term daily discomfort in about 25% and clinical failure in 11%.},
  author       = {Rogmark, Cecilia and Flensburg, Louise and Fredin, Hans},
  issn         = {1879-0267},
  language     = {eng},
  pages        = {274--276},
  publisher    = {ARRAY(0x8bca6b8)},
  series       = {Injury},
  title        = {Undisplaced femoral neck fractures-no problems? A consecutive study of 224 patients treated with internal fixation.},
  url          = {http://dx.doi.org/10.1016/j.injury.2008.05.023},
  volume       = {40},
  year         = {2009},
}