Basicervical femoral neck fractures : an observational study derived from the Swedish Fracture Register
(2024) In Acta Orthopaedica 95. p.250-255- Abstract
Background and purpose — Limited research has been conducted on basicervical femoral neck fractures (bFNFs). The importance of displacement in clinical outcomes remains unclear. We aimed to characterize patient demographics, degree of displacement, treatment, treatment failures, and reoperations in a cohort of fractures from the Swedish Fracture Register (SFR). Methods — 1,260 fractures in 1,185 individuals ≥ 60 years who had a bFNF registered in the SFR at 6 orthopedic departments from 2011 to 2020 were screened through radiographic review. The final sample included 291 patients with a confirmed bFNF. The medical records of these 291 patients were reviewed. We assessed baseline characteristics, initial fracture dislocation, treatment... (More)
Background and purpose — Limited research has been conducted on basicervical femoral neck fractures (bFNFs). The importance of displacement in clinical outcomes remains unclear. We aimed to characterize patient demographics, degree of displacement, treatment, treatment failures, and reoperations in a cohort of fractures from the Swedish Fracture Register (SFR). Methods — 1,260 fractures in 1,185 individuals ≥ 60 years who had a bFNF registered in the SFR at 6 orthopedic departments from 2011 to 2020 were screened through radiographic review. The final sample included 291 patients with a confirmed bFNF. The medical records of these 291 patients were reviewed. We assessed baseline characteristics, initial fracture dislocation, treatment methods, tip–apex distance, failures, reoperations, and mortality. Results — The mean age was 82 years (range 60–101, 55% women). 98 (34%) were undisplaced and 193 (66%) displaced. All patients underwent operative treatment. In the undisplaced group 95 (97%) patients received internal fixation (IF) and 3 (3%) had primary hip arthroplasty. In the displaced group 149 (77%) received IF and 41 (21%) had primary hip arthroplasty. 33 (11%) suffered treatment failure. When treating an undisplaced bFNF with IF, only 3 (3%) experienced treatment failure, in contrast to the 24 (16%) failure rate for a displaced bFNF. Conclusion — Undisplaced bFNFs have a low failure rate when treated with IF. For displaced bFNF treated with IF the failure rate is considerably higher. There is a need for further investigation of classification, treatment, and outcome of bFNF.
(Less)
- author
- Sundkvist, Jonas ; Hulenvik, Per ; Schmidt, Viktor ; Jolbäck, Per ; Sundfeldt, Mikael ; Fischer, Per ; Rogmark, Cecilia LU ; Juto, Hans ; Wolf, Olof and Mukka, Sebastian
- organization
- publishing date
- 2024
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Basal femoral neck fracture, Basicervical femoral neck fracture, Hip, Trauma
- in
- Acta Orthopaedica
- volume
- 95
- pages
- 6 pages
- publisher
- Taylor & Francis
- external identifiers
-
- scopus:85195173305
- ISSN
- 1745-3674
- DOI
- 10.2340/17453674.2024.40503
- language
- English
- LU publication?
- yes
- id
- 7b1bf77f-3849-4dd4-9a3b-8aa04df8015b
- date added to LUP
- 2024-09-12 15:41:45
- date last changed
- 2024-09-12 15:41:54
@article{7b1bf77f-3849-4dd4-9a3b-8aa04df8015b,
abstract = {{<p>Background and purpose — Limited research has been conducted on basicervical femoral neck fractures (bFNFs). The importance of displacement in clinical outcomes remains unclear. We aimed to characterize patient demographics, degree of displacement, treatment, treatment failures, and reoperations in a cohort of fractures from the Swedish Fracture Register (SFR). Methods — 1,260 fractures in 1,185 individuals ≥ 60 years who had a bFNF registered in the SFR at 6 orthopedic departments from 2011 to 2020 were screened through radiographic review. The final sample included 291 patients with a confirmed bFNF. The medical records of these 291 patients were reviewed. We assessed baseline characteristics, initial fracture dislocation, treatment methods, tip–apex distance, failures, reoperations, and mortality. Results — The mean age was 82 years (range 60–101, 55% women). 98 (34%) were undisplaced and 193 (66%) displaced. All patients underwent operative treatment. In the undisplaced group 95 (97%) patients received internal fixation (IF) and 3 (3%) had primary hip arthroplasty. In the displaced group 149 (77%) received IF and 41 (21%) had primary hip arthroplasty. 33 (11%) suffered treatment failure. When treating an undisplaced bFNF with IF, only 3 (3%) experienced treatment failure, in contrast to the 24 (16%) failure rate for a displaced bFNF. Conclusion — Undisplaced bFNFs have a low failure rate when treated with IF. For displaced bFNF treated with IF the failure rate is considerably higher. There is a need for further investigation of classification, treatment, and outcome of bFNF.</p>}},
author = {{Sundkvist, Jonas and Hulenvik, Per and Schmidt, Viktor and Jolbäck, Per and Sundfeldt, Mikael and Fischer, Per and Rogmark, Cecilia and Juto, Hans and Wolf, Olof and Mukka, Sebastian}},
issn = {{1745-3674}},
keywords = {{Basal femoral neck fracture; Basicervical femoral neck fracture; Hip; Trauma}},
language = {{eng}},
pages = {{250--255}},
publisher = {{Taylor & Francis}},
series = {{Acta Orthopaedica}},
title = {{Basicervical femoral neck fractures : an observational study derived from the Swedish Fracture Register}},
url = {{http://dx.doi.org/10.2340/17453674.2024.40503}},
doi = {{10.2340/17453674.2024.40503}},
volume = {{95}},
year = {{2024}},
}