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Intracapsular fractures of the femoral neck in younger patients

  • M. A. Farooq
  • S. H. Orkazai
  • O. Okusanya
  • A. T. Devitt
Original Paper

Abstract

Background

Most femoral neck fractures in younger patients have a different mechanism, treatment, and prognosis from those in elderly patients.

Aims

To evaluate the results of internal fixation of femoral neck fractures in patients aged between 20 and 60 years, and to determine reasons for failure.

Patients and Methods

Thirty three patients aged between 20 and 60 years who sustained a femoral neck fracture between 1995 and 2000 were reviewed. This represents 5.6% of the total femoral neck fractures admitted to the unit during this period.

Results

In 26 patients (78.8%) the fracture resulted from higher energy trauma. Of 23 patients with displaced fractures four patients (17.4%) developed avascular necrosis and one patient (4.3%) developed non-union. Factors influencing outcome were mechanism of injury, pre-operative fracture displacement, adequacy of fracture reduction and delay in surgery.

Conclusion

Our study emphasises the importance of timely surgery and adequate reduction of displaced femoral neck fractures in younger patients.

Keywords

Femoral Neck Internal Fixation Screw Fixation Femoral Neck Fracture Avascular Necrosis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer 2005

Authors and Affiliations

  • M. A. Farooq
    • 1
  • S. H. Orkazai
    • 1
  • O. Okusanya
    • 1
  • A. T. Devitt
    • 1
  1. 1.Dept of OrthopaedicsOur Lady’s HospitalNavan

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