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Title of Journal: International Orthopaedics SICO

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Abbravation: International Orthopaedics

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Springer-Verlag

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DOI

10.1007/bf03311130

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1432-5195

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Surgical treatment of undisplaced femoral neck fra

Authors: Lee YihShiunn Huang ChienRae Liao WenYun
Publish Date: 2006/10/11
Volume: 31, Issue: 5, Pages: 677-682
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Abstract

The study was a retrospective evaluation and comparison Eightyfour elderly patients 60 years with undisplaced intracapsular femoral neck fractures were treated with osteosynthesis with either dynamic hip screws DHS or multiple cannulated screws MCS The Singh index was used to evaluate bone quality All patients were followed up retrospectively for at least 12 months The clinical results were compared between the DHS and MCS groups Both groups were similar in respect of injury mechanisms mean Singh index injurysurgery interval gender and age all p values ≥ 029 The MCS group had significantly smaller wound incisions less haemoglobin level drops lower blood transfusion rates and shorter hospital stays than the DHS group all p values ≤ 0008 However the DHS group had a higher rate of overall success when compared to the MCS group 975 versus 841 p=004 In conclusion although DHS fixation requires a larger skin incision and more soft tissue dissection its use in elderly patients with osteoporosis is recommended due to simple efficacy and high overall success rateEtude rétrospective avec un suivi d’au moins 12 mois de 84 patients âgés de plus de 60 ans avec une fracture intracapsulaire sans déplacement du col fémoral traités par ostéosynthèse avec soit une visplaque dynamique DHS soit plusieurs vis canulées MCS L’index de Singh était utilisé pour évaluer la qualité osseuse Les 2 groupes étaient similaires par le mécanisme traumatique l’index de Singh le délai de la chirurgie le genre et l’âge Le groupe MCS avait une plus courte incision une moindre chute du niveau d’hémoglobine un plus faible taux de transfusion et un plus court séjour hospitalier que le groupe DHS Cependant le groupe DHS avait un meilleur taux global de succès que le groupe MCS 975 versus 841 p=004 En conclusion bien que la fixation par visplaque dynamique demande une plus grande dissection des parties molles son utilisation chez les patients âgés et ostéoporotiques est recommandé en raison de son taux global de succès

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