Undisplaced femoral neck fractures need a closed reduction before internal fixation
Introduction Undisplaced femoral neck fractures (UFNF) are generally treated with in situ internal fixation, and few studies have addressed the impact of closed reduction. The aim of this study was to investigate the clinical outcome of UFNF treated with internal fixation using the Hansson pinloc sy...
Gespeichert in:
| Veröffentlicht in: | European journal of orthopaedic surgery & traumatology 2019-01, Vol.29 (1), p.73-78 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 78 |
|---|---|
| container_issue | 1 |
| container_start_page | 73 |
| container_title | European journal of orthopaedic surgery & traumatology |
| container_volume | 29 |
| creator | Yamamoto, Tatsuya Kobayashi, Yoshiomi Nonomiya, Hiroaki |
| description | Introduction
Undisplaced femoral neck fractures (UFNF) are generally treated with in situ internal fixation, and few studies have addressed the impact of closed reduction. The aim of this study was to investigate the clinical outcome of UFNF treated with internal fixation using the Hansson pinloc system after closed reduction.
Patients and methods
This was a retrospective study of 40 patients who underwent internal fixation using the Hansson pinloc system after closed reduction between September 2014 and May 2016. In the present study, posterior tilt, presence of complete fracture, interval from injury to surgery, and changes in activities of daily living were statistically analyzed to investigate the association between nonunion and late segmental collapse (LSC).
Results
Five cases each of nonunion and LSC were identified. The frequency of LSC was significantly higher in patients with preoperative posterior tilt ≥ 20° (
p
|
| doi_str_mv | 10.1007/s00590-018-2281-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2082089826</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2082089826</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-725f6437f1167eb5c34bd5d6c5e888c90b988e37efd06c44787e1465539b2e463</originalsourceid><addsrcrecordid>eNp1kEtLxDAUhYMozjj6A9xIwY2b6E3SpOlSBl8w4EJnHdr0Rjp22jFpQf-9KfUBghDIDec754ZDyCmDSwaQXQUAmQMFpinnmlHYI3OWCk4ZKL0fZyUE1aDkjByFsAFgMmfykMwEgMpVzubkad1Wddg1hcUqcbjtfNEkLdrXxPnC9oPHEJ9RKxLbdCEOHqvB9nXXJiW6zmNStz36Ntpc_V6MwjE5cEUT8OTrXpD17c3z8p6uHu8eltcrakXGe5px6VQqMseYyrCUVqRlJStlJWqtbQ5lrjWKDF0FyqZppjNkqZJS5CXHVIkFuZhyd757GzD0ZlsHi01TtNgNwXDQ8eSaj-j5H3TTDeOnIyUkkyqGy0ixibK-C8GjMztfbwv_YRiYsXEzNW5i42Zs3ED0nH0lD-UWqx_Hd8UR4BMQotS-oP9d_X_qJ2sNim8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2351567875</pqid></control><display><type>article</type><title>Undisplaced femoral neck fractures need a closed reduction before internal fixation</title><source>Springer Nature - Complete Springer Journals</source><creator>Yamamoto, Tatsuya ; Kobayashi, Yoshiomi ; Nonomiya, Hiroaki</creator><creatorcontrib>Yamamoto, Tatsuya ; Kobayashi, Yoshiomi ; Nonomiya, Hiroaki</creatorcontrib><description>Introduction
Undisplaced femoral neck fractures (UFNF) are generally treated with in situ internal fixation, and few studies have addressed the impact of closed reduction. The aim of this study was to investigate the clinical outcome of UFNF treated with internal fixation using the Hansson pinloc system after closed reduction.
Patients and methods
This was a retrospective study of 40 patients who underwent internal fixation using the Hansson pinloc system after closed reduction between September 2014 and May 2016. In the present study, posterior tilt, presence of complete fracture, interval from injury to surgery, and changes in activities of daily living were statistically analyzed to investigate the association between nonunion and late segmental collapse (LSC).
Results
Five cases each of nonunion and LSC were identified. The frequency of LSC was significantly higher in patients with preoperative posterior tilt ≥ 20° (
p
< 0.05). The risks of nonunion and LSC were lower in patients with incomplete fracture (
p
< 0.05) and fixation within 48 h (
p
< 0.05). Of the 40 patients, 34 were categorized in the sufficient reduction group fixed with posterior tilt ≤ 5°. Secondary operation rate was lower in the sufficient reduction group (5/34 cases) than in the insufficient reduction group (3/6 cases).
Discussion
The fixation timing < 48 h decrease the risk of fracture healing complications and sufficient reduction may reduce the risk of secondary operation. Preoperative posterior tilt ≥ 20° and complete fractures on CT scans were related to poor prognosis.</description><identifier>ISSN: 1633-8065</identifier><identifier>EISSN: 1432-1068</identifier><identifier>DOI: 10.1007/s00590-018-2281-0</identifier><identifier>PMID: 30069691</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Activities of daily living ; Fractures ; Medical imaging ; Medicine ; Medicine & Public Health ; Original Article • HIP - FRACTURES ; Surgery ; Surgical Orthopedics ; Traumatic Surgery</subject><ispartof>European journal of orthopaedic surgery & traumatology, 2019-01, Vol.29 (1), p.73-78</ispartof><rights>Springer-Verlag France SAS, part of Springer Nature 2018</rights><rights>European Journal of Orthopaedic Surgery and Traumatology is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-725f6437f1167eb5c34bd5d6c5e888c90b988e37efd06c44787e1465539b2e463</citedby><cites>FETCH-LOGICAL-c372t-725f6437f1167eb5c34bd5d6c5e888c90b988e37efd06c44787e1465539b2e463</cites><orcidid>0000-0001-9935-9985</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00590-018-2281-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00590-018-2281-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30069691$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamamoto, Tatsuya</creatorcontrib><creatorcontrib>Kobayashi, Yoshiomi</creatorcontrib><creatorcontrib>Nonomiya, Hiroaki</creatorcontrib><title>Undisplaced femoral neck fractures need a closed reduction before internal fixation</title><title>European journal of orthopaedic surgery & traumatology</title><addtitle>Eur J Orthop Surg Traumatol</addtitle><addtitle>Eur J Orthop Surg Traumatol</addtitle><description>Introduction
Undisplaced femoral neck fractures (UFNF) are generally treated with in situ internal fixation, and few studies have addressed the impact of closed reduction. The aim of this study was to investigate the clinical outcome of UFNF treated with internal fixation using the Hansson pinloc system after closed reduction.
Patients and methods
This was a retrospective study of 40 patients who underwent internal fixation using the Hansson pinloc system after closed reduction between September 2014 and May 2016. In the present study, posterior tilt, presence of complete fracture, interval from injury to surgery, and changes in activities of daily living were statistically analyzed to investigate the association between nonunion and late segmental collapse (LSC).
Results
Five cases each of nonunion and LSC were identified. The frequency of LSC was significantly higher in patients with preoperative posterior tilt ≥ 20° (
p
< 0.05). The risks of nonunion and LSC were lower in patients with incomplete fracture (
p
< 0.05) and fixation within 48 h (
p
< 0.05). Of the 40 patients, 34 were categorized in the sufficient reduction group fixed with posterior tilt ≤ 5°. Secondary operation rate was lower in the sufficient reduction group (5/34 cases) than in the insufficient reduction group (3/6 cases).
Discussion
The fixation timing < 48 h decrease the risk of fracture healing complications and sufficient reduction may reduce the risk of secondary operation. Preoperative posterior tilt ≥ 20° and complete fractures on CT scans were related to poor prognosis.</description><subject>Activities of daily living</subject><subject>Fractures</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article • HIP - FRACTURES</subject><subject>Surgery</subject><subject>Surgical Orthopedics</subject><subject>Traumatic Surgery</subject><issn>1633-8065</issn><issn>1432-1068</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp1kEtLxDAUhYMozjj6A9xIwY2b6E3SpOlSBl8w4EJnHdr0Rjp22jFpQf-9KfUBghDIDec754ZDyCmDSwaQXQUAmQMFpinnmlHYI3OWCk4ZKL0fZyUE1aDkjByFsAFgMmfykMwEgMpVzubkad1Wddg1hcUqcbjtfNEkLdrXxPnC9oPHEJ9RKxLbdCEOHqvB9nXXJiW6zmNStz36Ntpc_V6MwjE5cEUT8OTrXpD17c3z8p6uHu8eltcrakXGe5px6VQqMseYyrCUVqRlJStlJWqtbQ5lrjWKDF0FyqZppjNkqZJS5CXHVIkFuZhyd757GzD0ZlsHi01TtNgNwXDQ8eSaj-j5H3TTDeOnIyUkkyqGy0ixibK-C8GjMztfbwv_YRiYsXEzNW5i42Zs3ED0nH0lD-UWqx_Hd8UR4BMQotS-oP9d_X_qJ2sNim8</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Yamamoto, Tatsuya</creator><creator>Kobayashi, Yoshiomi</creator><creator>Nonomiya, Hiroaki</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9935-9985</orcidid></search><sort><creationdate>20190101</creationdate><title>Undisplaced femoral neck fractures need a closed reduction before internal fixation</title><author>Yamamoto, Tatsuya ; Kobayashi, Yoshiomi ; Nonomiya, Hiroaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-725f6437f1167eb5c34bd5d6c5e888c90b988e37efd06c44787e1465539b2e463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Activities of daily living</topic><topic>Fractures</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article • HIP - FRACTURES</topic><topic>Surgery</topic><topic>Surgical Orthopedics</topic><topic>Traumatic Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamamoto, Tatsuya</creatorcontrib><creatorcontrib>Kobayashi, Yoshiomi</creatorcontrib><creatorcontrib>Nonomiya, Hiroaki</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of orthopaedic surgery & traumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamamoto, Tatsuya</au><au>Kobayashi, Yoshiomi</au><au>Nonomiya, Hiroaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Undisplaced femoral neck fractures need a closed reduction before internal fixation</atitle><jtitle>European journal of orthopaedic surgery & traumatology</jtitle><stitle>Eur J Orthop Surg Traumatol</stitle><addtitle>Eur J Orthop Surg Traumatol</addtitle><date>2019-01-01</date><risdate>2019</risdate><volume>29</volume><issue>1</issue><spage>73</spage><epage>78</epage><pages>73-78</pages><issn>1633-8065</issn><eissn>1432-1068</eissn><abstract>Introduction
Undisplaced femoral neck fractures (UFNF) are generally treated with in situ internal fixation, and few studies have addressed the impact of closed reduction. The aim of this study was to investigate the clinical outcome of UFNF treated with internal fixation using the Hansson pinloc system after closed reduction.
Patients and methods
This was a retrospective study of 40 patients who underwent internal fixation using the Hansson pinloc system after closed reduction between September 2014 and May 2016. In the present study, posterior tilt, presence of complete fracture, interval from injury to surgery, and changes in activities of daily living were statistically analyzed to investigate the association between nonunion and late segmental collapse (LSC).
Results
Five cases each of nonunion and LSC were identified. The frequency of LSC was significantly higher in patients with preoperative posterior tilt ≥ 20° (
p
< 0.05). The risks of nonunion and LSC were lower in patients with incomplete fracture (
p
< 0.05) and fixation within 48 h (
p
< 0.05). Of the 40 patients, 34 were categorized in the sufficient reduction group fixed with posterior tilt ≤ 5°. Secondary operation rate was lower in the sufficient reduction group (5/34 cases) than in the insufficient reduction group (3/6 cases).
Discussion
The fixation timing < 48 h decrease the risk of fracture healing complications and sufficient reduction may reduce the risk of secondary operation. Preoperative posterior tilt ≥ 20° and complete fractures on CT scans were related to poor prognosis.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>30069691</pmid><doi>10.1007/s00590-018-2281-0</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-9935-9985</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1633-8065 |
| ispartof | European journal of orthopaedic surgery & traumatology, 2019-01, Vol.29 (1), p.73-78 |
| issn | 1633-8065 1432-1068 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2082089826 |
| source | Springer Nature - Complete Springer Journals |
| subjects | Activities of daily living Fractures Medical imaging Medicine Medicine & Public Health Original Article • HIP - FRACTURES Surgery Surgical Orthopedics Traumatic Surgery |
| title | Undisplaced femoral neck fractures need a closed reduction before internal fixation |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-18T22%3A40%3A29IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Undisplaced%20femoral%20neck%20fractures%20need%20a%20closed%20reduction%20before%20internal%20fixation&rft.jtitle=European%20journal%20of%20orthopaedic%20surgery%20&%20traumatology&rft.au=Yamamoto,%20Tatsuya&rft.date=2019-01-01&rft.volume=29&rft.issue=1&rft.spage=73&rft.epage=78&rft.pages=73-78&rft.issn=1633-8065&rft.eissn=1432-1068&rft_id=info:doi/10.1007/s00590-018-2281-0&rft_dat=%3Cproquest_cross%3E2082089826%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2351567875&rft_id=info:pmid/30069691&rfr_iscdi=true |