Non-operative or operative treatment for undisplaced femoral neck fractures: a comparative study of 122 non-operative and 125 operatively treated cases

We prescut a series of 247 undisplaced femoral neck fractures, of which 122 were primarily treated non-operatively, and 125 with primary operative stabilization. The background parameters did not differ significantly in the two groups. The length of hospitalization was 1 week shorter in the operativ...

Full description

Saved in:
Bibliographic Details
Published inInjury Vol. 27; no. 8; pp. 583 - 588
Main Authors Cserháti, P., Kazár, G., Manninger, J., Fekete, K., Frenyó, S.
Format Journal Article
LanguageEnglish
Published Oxford Elsevier Ltd 01.10.1996
Elsevier
Subjects
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Bone Plates
Bone Screws
Female
Femoral Neck Fractures - surgery
Femoral Neck Fractures - therapy
Fracture Fixation, Internal - methods
Fracture Healing
Humans
Injuries of the limb. Injuries of the spine
Male
Medical sciences
Middle Aged
Orthopedics
Traumas. Diseases due to physical agents
Treatment Outcome
Femoral neck
Human
Treatment efficiency
Orthopedic treatment
Diseases of the osteoarticular system
Internal
Osteosynthesis
Fracture
Trauma
Hip
Orthopedic surgery
Fixation
Treatment
Bone
Comparative study
Online AccessGet full text

Cover

More Information
Summary:We prescut a series of 247 undisplaced femoral neck fractures, of which 122 were primarily treated non-operatively, and 125 with primary operative stabilization. The background parameters did not differ significantly in the two groups. The length of hospitalization was 1 week shorter in the operatively treated group. They started to walk bearing full weight at an average of 11 days earlier. Two-thirds of the operatively treated but only one-quarter of the non-operatively treated patients were able to walk alone when they left hospital. General complications were recorded in 19 of the non-operatively and in four of the operatively treated patients during their hospitalization. Early displacement (within 6 weeks) was noted in 20 per cent of the non-operatively treated patients who required late operation. However, there was no carly displacement in the operatively treated group. We therefore recommend primary operative stabilization of undisplaced femoral neck fractures.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0020-1383
1879-0267
DOI:10.1016/S0020-1383(96)00073-3