Advanced

Radiographic prediction of failure after fixation of cervical hip fracture

Sernbo, Ingmar; Holmquist, Hans; Redlund-Johnell, Inga LU and Johnell, Olof LU (1994) In Acta Orthopaedica Scandinavica 65(3). p.295-298
Abstract
During 1984-1985, 410 patients with cervical hip fracture were randomized between 2 methods of internal fixation--a single nail (Rydell) or 2 LIH hook pins (LIH). The patients were followed-up prospectively for at least 2 years. Radiographs were taken after 1 week, 1, 3, 6, 12, and 24 months. The radiographs of the 295 patients alive 2 years postoperatively were examined by one of the authors. The sliding and the diversion of the pins and the nail in the anteroposterior projection and the diversion in the lateral projection were measured. In the failure group (non-union, late segmental collapse), the greatest sliding was noted within 1 month postoperatively and the diversion increased up to 3 months. Significant differences between the... (More)
During 1984-1985, 410 patients with cervical hip fracture were randomized between 2 methods of internal fixation--a single nail (Rydell) or 2 LIH hook pins (LIH). The patients were followed-up prospectively for at least 2 years. Radiographs were taken after 1 week, 1, 3, 6, 12, and 24 months. The radiographs of the 295 patients alive 2 years postoperatively were examined by one of the authors. The sliding and the diversion of the pins and the nail in the anteroposterior projection and the diversion in the lateral projection were measured. In the failure group (non-union, late segmental collapse), the greatest sliding was noted within 1 month postoperatively and the diversion increased up to 3 months. Significant differences between the failure and the non-failure groups could be seen even after 1 week. We also found that the degree of sliding of the LIH pins and the Rydell nail 1 month postoperatively is comparable to the scintigraphic pattern 2 weeks postoperatively in predicting failure after internal fixation of cervical hip fractures. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Orthopaedica Scandinavica
volume
65
issue
3
pages
295 - 298
publisher
Taylor & Francis
external identifiers
  • pmid:8042481
  • scopus:0028364583
ISSN
0001-6470
DOI
10.3109/17453679408995456
language
English
LU publication?
yes
id
b536f0c1-f49e-412c-8113-c03beb1af66d (old id 1108070)
date added to LUP
2008-07-23 12:09:28
date last changed
2017-01-01 06:52:57
@article{b536f0c1-f49e-412c-8113-c03beb1af66d,
  abstract     = {During 1984-1985, 410 patients with cervical hip fracture were randomized between 2 methods of internal fixation--a single nail (Rydell) or 2 LIH hook pins (LIH). The patients were followed-up prospectively for at least 2 years. Radiographs were taken after 1 week, 1, 3, 6, 12, and 24 months. The radiographs of the 295 patients alive 2 years postoperatively were examined by one of the authors. The sliding and the diversion of the pins and the nail in the anteroposterior projection and the diversion in the lateral projection were measured. In the failure group (non-union, late segmental collapse), the greatest sliding was noted within 1 month postoperatively and the diversion increased up to 3 months. Significant differences between the failure and the non-failure groups could be seen even after 1 week. We also found that the degree of sliding of the LIH pins and the Rydell nail 1 month postoperatively is comparable to the scintigraphic pattern 2 weeks postoperatively in predicting failure after internal fixation of cervical hip fractures.},
  author       = {Sernbo, Ingmar and Holmquist, Hans and Redlund-Johnell, Inga and Johnell, Olof},
  issn         = {0001-6470},
  language     = {eng},
  number       = {3},
  pages        = {295--298},
  publisher    = {Taylor & Francis},
  series       = {Acta Orthopaedica Scandinavica},
  title        = {Radiographic prediction of failure after fixation of cervical hip fracture},
  url          = {http://dx.doi.org/10.3109/17453679408995456},
  volume       = {65},
  year         = {1994},
}