Intraoperative Assessment of Femoral Head Vascularity After Femoral Neck Fracture
OBJECTIVES:To develop an intraoperative technique to predict the development of avascular necrosis after internal fixation of femoral neck fractures. DESIGN:Prospective study. SETTING:All patients were treated at the same hospital. PATIENTS/PARTICIPANTS:Sixty-four patients who presented for internal...
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| Veröffentlicht in: | Journal of orthopaedic trauma 1998-09, Vol.12 (7), p.474-478 |
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| container_title | Journal of orthopaedic trauma |
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| creator | Gill, Thomas J Sledge, John B Ekkernkamp, Axel Ganz, Reinhold |
| description | OBJECTIVES:To develop an intraoperative technique to predict the development of avascular necrosis after internal fixation of femoral neck fractures.
DESIGN:Prospective study.
SETTING:All patients were treated at the same hospital.
PATIENTS/PARTICIPANTS:Sixty-four patients who presented for internal fixation of a femoral neck fracture were enrolled in the study.
INTERVENTION:A 2.0-millimeter drill was used to assess the presence and character of bleeding from the femoral head at open reduction and internal fixation of a femoral neck fracture.
MAIN OUTCOME MEASUREMENTS:Patients were evaluated post-operatively by history, examination, and roentgenography for the development of avascular necrosis of the femoral head fragment. A minimum two-year follow-up with radiography was required for entry into the study, with an average follow-up of 3.2 years.
RESULTS:None of the fifty-six patients with bleeding from the drill holes in the femoral head fragment developed avascular necrosis. Eight of eight patients with no bleeding after reduction developed avascular necrosis. There were no infections or nonunions.
CONCLUSIONS:Intraoperative drilling of the femoral head is a highly sensitive and specific predictor for the development of avascular necrosis after femoral neck fractures. |
| doi_str_mv | 10.1097/00005131-199809000-00008 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_69973592</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>69973592</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4138-d6404e43878a4d43f102e657194588c1f6d14eac8b50e4726ce1d6c35b7851d83</originalsourceid><addsrcrecordid>eNp1kUFLwzAYhoMoOqc_QehBvFXzNUmTHIc4HQxFUK8hS79iXbrOpHX47-3c7M1cQt73ST54QkgC9Bqolje0XwIYpKC1oro_pdtIHZARiD7OMg2HZESVpqlgTJ-Q0xg_tgTNsmNyrKUCKWFEnmerNthmjcG21RcmkxgxxhpXbdKUyRTrJlifPKAtkjcbXedtqNrvZFK2GIb6Ed0ymQbr2i7gGTkqrY94vt_H5HV693L7kM6f7me3k3nqODCVFjmnHDlTUllecFYCzTAXEjQXSjko8wI4WqcWgiKXWe4QitwxsZBKQKHYmFzt3l2H5rPD2Jq6ig69tytsumhyrSUTOutBtQNdaGIMWJp1qGobvg1Qs7Vp_myaweZvtJ1xsZ_RLWoshot7fX1_ue97N9aXwa5cFQcs4yCA8x7jO2zT-N5bXPpug8G8o_Xtu_nvL9kPRDKK7A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>69973592</pqid></control><display><type>article</type><title>Intraoperative Assessment of Femoral Head Vascularity After Femoral Neck Fracture</title><source>MEDLINE</source><source>Journals@Ovid Ovid Autoload</source><creator>Gill, Thomas J ; Sledge, John B ; Ekkernkamp, Axel ; Ganz, Reinhold</creator><creatorcontrib>Gill, Thomas J ; Sledge, John B ; Ekkernkamp, Axel ; Ganz, Reinhold</creatorcontrib><description>OBJECTIVES:To develop an intraoperative technique to predict the development of avascular necrosis after internal fixation of femoral neck fractures.
DESIGN:Prospective study.
SETTING:All patients were treated at the same hospital.
PATIENTS/PARTICIPANTS:Sixty-four patients who presented for internal fixation of a femoral neck fracture were enrolled in the study.
INTERVENTION:A 2.0-millimeter drill was used to assess the presence and character of bleeding from the femoral head at open reduction and internal fixation of a femoral neck fracture.
MAIN OUTCOME MEASUREMENTS:Patients were evaluated post-operatively by history, examination, and roentgenography for the development of avascular necrosis of the femoral head fragment. A minimum two-year follow-up with radiography was required for entry into the study, with an average follow-up of 3.2 years.
RESULTS:None of the fifty-six patients with bleeding from the drill holes in the femoral head fragment developed avascular necrosis. Eight of eight patients with no bleeding after reduction developed avascular necrosis. There were no infections or nonunions.
CONCLUSIONS:Intraoperative drilling of the femoral head is a highly sensitive and specific predictor for the development of avascular necrosis after femoral neck fractures.</description><identifier>ISSN: 0890-5339</identifier><identifier>EISSN: 1531-2291</identifier><identifier>DOI: 10.1097/00005131-199809000-00008</identifier><identifier>PMID: 9781771</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Bone Screws ; Child ; Femoral Neck Fractures - complications ; Femoral Neck Fractures - pathology ; Femoral Neck Fractures - surgery ; Femur Head - blood supply ; Femur Head Necrosis - diagnosis ; Femur Head Necrosis - etiology ; Femur Head Necrosis - prevention & control ; Fracture Fixation, Internal ; Humans ; Intraoperative Period ; Medical sciences ; Middle Aged ; Orthopedic surgery ; Postoperative Complications - prevention & control ; Predictive Value of Tests ; Prognosis ; Prospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><ispartof>Journal of orthopaedic trauma, 1998-09, Vol.12 (7), p.474-478</ispartof><rights>1998 Lippincott Williams & Wilkins, Inc.</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4138-d6404e43878a4d43f102e657194588c1f6d14eac8b50e4726ce1d6c35b7851d83</citedby><cites>FETCH-LOGICAL-c4138-d6404e43878a4d43f102e657194588c1f6d14eac8b50e4726ce1d6c35b7851d83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>310,311,315,781,785,790,791,23935,23936,25145,27929,27930</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2415144$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9781771$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gill, Thomas J</creatorcontrib><creatorcontrib>Sledge, John B</creatorcontrib><creatorcontrib>Ekkernkamp, Axel</creatorcontrib><creatorcontrib>Ganz, Reinhold</creatorcontrib><title>Intraoperative Assessment of Femoral Head Vascularity After Femoral Neck Fracture</title><title>Journal of orthopaedic trauma</title><addtitle>J Orthop Trauma</addtitle><description>OBJECTIVES:To develop an intraoperative technique to predict the development of avascular necrosis after internal fixation of femoral neck fractures.
DESIGN:Prospective study.
SETTING:All patients were treated at the same hospital.
PATIENTS/PARTICIPANTS:Sixty-four patients who presented for internal fixation of a femoral neck fracture were enrolled in the study.
INTERVENTION:A 2.0-millimeter drill was used to assess the presence and character of bleeding from the femoral head at open reduction and internal fixation of a femoral neck fracture.
MAIN OUTCOME MEASUREMENTS:Patients were evaluated post-operatively by history, examination, and roentgenography for the development of avascular necrosis of the femoral head fragment. A minimum two-year follow-up with radiography was required for entry into the study, with an average follow-up of 3.2 years.
RESULTS:None of the fifty-six patients with bleeding from the drill holes in the femoral head fragment developed avascular necrosis. Eight of eight patients with no bleeding after reduction developed avascular necrosis. There were no infections or nonunions.
CONCLUSIONS:Intraoperative drilling of the femoral head is a highly sensitive and specific predictor for the development of avascular necrosis after femoral neck fractures.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Bone Screws</subject><subject>Child</subject><subject>Femoral Neck Fractures - complications</subject><subject>Femoral Neck Fractures - pathology</subject><subject>Femoral Neck Fractures - surgery</subject><subject>Femur Head - blood supply</subject><subject>Femur Head Necrosis - diagnosis</subject><subject>Femur Head Necrosis - etiology</subject><subject>Femur Head Necrosis - prevention & control</subject><subject>Fracture Fixation, Internal</subject><subject>Humans</subject><subject>Intraoperative Period</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Orthopedic surgery</subject><subject>Postoperative Complications - prevention & control</subject><subject>Predictive Value of Tests</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><issn>0890-5339</issn><issn>1531-2291</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUFLwzAYhoMoOqc_QehBvFXzNUmTHIc4HQxFUK8hS79iXbrOpHX47-3c7M1cQt73ST54QkgC9Bqolje0XwIYpKC1oro_pdtIHZARiD7OMg2HZESVpqlgTJ-Q0xg_tgTNsmNyrKUCKWFEnmerNthmjcG21RcmkxgxxhpXbdKUyRTrJlifPKAtkjcbXedtqNrvZFK2GIb6Ed0ymQbr2i7gGTkqrY94vt_H5HV693L7kM6f7me3k3nqODCVFjmnHDlTUllecFYCzTAXEjQXSjko8wI4WqcWgiKXWe4QitwxsZBKQKHYmFzt3l2H5rPD2Jq6ig69tytsumhyrSUTOutBtQNdaGIMWJp1qGobvg1Qs7Vp_myaweZvtJ1xsZ_RLWoshot7fX1_ue97N9aXwa5cFQcs4yCA8x7jO2zT-N5bXPpug8G8o_Xtu_nvL9kPRDKK7A</recordid><startdate>199809</startdate><enddate>199809</enddate><creator>Gill, Thomas J</creator><creator>Sledge, John B</creator><creator>Ekkernkamp, Axel</creator><creator>Ganz, Reinhold</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199809</creationdate><title>Intraoperative Assessment of Femoral Head Vascularity After Femoral Neck Fracture</title><author>Gill, Thomas J ; Sledge, John B ; Ekkernkamp, Axel ; Ganz, Reinhold</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4138-d6404e43878a4d43f102e657194588c1f6d14eac8b50e4726ce1d6c35b7851d83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Bone Screws</topic><topic>Child</topic><topic>Femoral Neck Fractures - complications</topic><topic>Femoral Neck Fractures - pathology</topic><topic>Femoral Neck Fractures - surgery</topic><topic>Femur Head - blood supply</topic><topic>Femur Head Necrosis - diagnosis</topic><topic>Femur Head Necrosis - etiology</topic><topic>Femur Head Necrosis - prevention & control</topic><topic>Fracture Fixation, Internal</topic><topic>Humans</topic><topic>Intraoperative Period</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Orthopedic surgery</topic><topic>Postoperative Complications - prevention & control</topic><topic>Predictive Value of Tests</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gill, Thomas J</creatorcontrib><creatorcontrib>Sledge, John B</creatorcontrib><creatorcontrib>Ekkernkamp, Axel</creatorcontrib><creatorcontrib>Ganz, Reinhold</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of orthopaedic trauma</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gill, Thomas J</au><au>Sledge, John B</au><au>Ekkernkamp, Axel</au><au>Ganz, Reinhold</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intraoperative Assessment of Femoral Head Vascularity After Femoral Neck Fracture</atitle><jtitle>Journal of orthopaedic trauma</jtitle><addtitle>J Orthop Trauma</addtitle><date>1998-09</date><risdate>1998</risdate><volume>12</volume><issue>7</issue><spage>474</spage><epage>478</epage><pages>474-478</pages><issn>0890-5339</issn><eissn>1531-2291</eissn><abstract>OBJECTIVES:To develop an intraoperative technique to predict the development of avascular necrosis after internal fixation of femoral neck fractures.
DESIGN:Prospective study.
SETTING:All patients were treated at the same hospital.
PATIENTS/PARTICIPANTS:Sixty-four patients who presented for internal fixation of a femoral neck fracture were enrolled in the study.
INTERVENTION:A 2.0-millimeter drill was used to assess the presence and character of bleeding from the femoral head at open reduction and internal fixation of a femoral neck fracture.
MAIN OUTCOME MEASUREMENTS:Patients were evaluated post-operatively by history, examination, and roentgenography for the development of avascular necrosis of the femoral head fragment. A minimum two-year follow-up with radiography was required for entry into the study, with an average follow-up of 3.2 years.
RESULTS:None of the fifty-six patients with bleeding from the drill holes in the femoral head fragment developed avascular necrosis. Eight of eight patients with no bleeding after reduction developed avascular necrosis. There were no infections or nonunions.
CONCLUSIONS:Intraoperative drilling of the femoral head is a highly sensitive and specific predictor for the development of avascular necrosis after femoral neck fractures.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>9781771</pmid><doi>10.1097/00005131-199809000-00008</doi><tpages>5</tpages></addata></record> |
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| source | MEDLINE; Journals@Ovid Ovid Autoload |
| subjects | Adolescent Adult Aged Aged, 80 and over Biological and medical sciences Bone Screws Child Femoral Neck Fractures - complications Femoral Neck Fractures - pathology Femoral Neck Fractures - surgery Femur Head - blood supply Femur Head Necrosis - diagnosis Femur Head Necrosis - etiology Femur Head Necrosis - prevention & control Fracture Fixation, Internal Humans Intraoperative Period Medical sciences Middle Aged Orthopedic surgery Postoperative Complications - prevention & control Predictive Value of Tests Prognosis Prospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases |
| title | Intraoperative Assessment of Femoral Head Vascularity After Femoral Neck Fracture |
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