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Orthopedic treatment of hip fracture

Obrant, Karl LU (1996) In Bone 18(3 Suppl). p.145-148
Abstract
There are those who advocate nonoperative treatment of impacted femoral neck fractures, but in general there is consensus that surgery is the treatment of choice for both trochanteric hip fracture and femoral neck fracture. As for trochanteric fractures, modern results after internal fixation are characterized by only a low percentage of secondary operations, even for unstable fractures and when full weight bearing is permitted immediately after operation. The high rates of complication after internal fixation of femoral neck fractures and the insignificant improvement of these results over the decades have made prosthetic replacement an alternative method of treatment, at least for dislocated femoral neck fractures. Until a quantifiable... (More)
There are those who advocate nonoperative treatment of impacted femoral neck fractures, but in general there is consensus that surgery is the treatment of choice for both trochanteric hip fracture and femoral neck fracture. As for trochanteric fractures, modern results after internal fixation are characterized by only a low percentage of secondary operations, even for unstable fractures and when full weight bearing is permitted immediately after operation. The high rates of complication after internal fixation of femoral neck fractures and the insignificant improvement of these results over the decades have made prosthetic replacement an alternative method of treatment, at least for dislocated femoral neck fractures. Until a quantifiable prognostic method to judge whether a given femoral neck fracture will heal is available, and until sufficiently large, prospective techniques have been undertaken, diverging opinions about the operative treatment of choice will persist. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Arthroplasty, Hip fracture, Osteosynthesis, Treatment, Complications
in
Bone
volume
18
issue
3 Suppl
pages
145 - 148
publisher
Elsevier
external identifiers
  • pmid:8777080
  • scopus:0029922032
ISSN
1873-2763
DOI
10.1016/8756-3282(95)00495-5
language
English
LU publication?
yes
id
032aefda-a4f6-4a82-9779-9318c4df4b3c (old id 1110400)
date added to LUP
2008-07-28 09:59:49
date last changed
2017-01-01 07:24:47
@article{032aefda-a4f6-4a82-9779-9318c4df4b3c,
  abstract     = {There are those who advocate nonoperative treatment of impacted femoral neck fractures, but in general there is consensus that surgery is the treatment of choice for both trochanteric hip fracture and femoral neck fracture. As for trochanteric fractures, modern results after internal fixation are characterized by only a low percentage of secondary operations, even for unstable fractures and when full weight bearing is permitted immediately after operation. The high rates of complication after internal fixation of femoral neck fractures and the insignificant improvement of these results over the decades have made prosthetic replacement an alternative method of treatment, at least for dislocated femoral neck fractures. Until a quantifiable prognostic method to judge whether a given femoral neck fracture will heal is available, and until sufficiently large, prospective techniques have been undertaken, diverging opinions about the operative treatment of choice will persist.},
  author       = {Obrant, Karl},
  issn         = {1873-2763},
  keyword      = {Arthroplasty,Hip fracture,Osteosynthesis,Treatment,Complications},
  language     = {eng},
  number       = {3 Suppl},
  pages        = {145--148},
  publisher    = {Elsevier},
  series       = {Bone},
  title        = {Orthopedic treatment of hip fracture},
  url          = {http://dx.doi.org/10.1016/8756-3282(95)00495-5},
  volume       = {18},
  year         = {1996},
}