Cargando…
Management of femoral neck fractures in young adults
Femoral neck fractures in young adults are uncommon and often the result of high-energy trauma. They are associated with higher incidences of femoral head osteonecrosis and nonunion. Multiple factors can play a significant role in preventing these devastating complications and contribute to a good o...
Autores principales: | , |
---|---|
Formato: | Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications
2008
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2759588/ https://www.ncbi.nlm.nih.gov/pubmed/19823648 http://dx.doi.org/10.4103/0019-5413.38574 |
_version_ | 1782172687107358720 |
---|---|
author | Ly, Thuan V Swiontkowski, Marc F |
author_facet | Ly, Thuan V Swiontkowski, Marc F |
author_sort | Ly, Thuan V |
collection | PubMed |
description | Femoral neck fractures in young adults are uncommon and often the result of high-energy trauma. They are associated with higher incidences of femoral head osteonecrosis and nonunion. Multiple factors can play a significant role in preventing these devastating complications and contribute to a good outcome. While achieving an anatomic reduction and stable internal fixation are imperative, other treatment variables, such as time to surgery, the role of capsulotomy and the fixation methods remain debatable. Open reduction and internal fixation through a Watson-Jones exposure is the recommended approach. Definitive fixation can be accomplished with three cannulated or noncannulated cancellous screws. Capsulotomy in femoral neck fractures remains a controversial issue and the practice varies by trauma program, region and country. Until there is conclusive data (i.e. prospective and controlled) we recommend performing a capsulotomy. The data available is inconclusive on whether this fracture should be operated emergently, urgently or can wait until the next day. Until there is conclusive data available, we recommend that surgery should be done on an urgent basis. The key factors in treating femoral neck fractures should include early diagnosis, early surgery, anatomic reduction, capsular decompression and stable internal fixation. |
format | Text |
id | pubmed-2759588 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2008 |
publisher | Medknow Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-27595882009-10-09 Management of femoral neck fractures in young adults Ly, Thuan V Swiontkowski, Marc F Indian J Orthop Review Article Femoral neck fractures in young adults are uncommon and often the result of high-energy trauma. They are associated with higher incidences of femoral head osteonecrosis and nonunion. Multiple factors can play a significant role in preventing these devastating complications and contribute to a good outcome. While achieving an anatomic reduction and stable internal fixation are imperative, other treatment variables, such as time to surgery, the role of capsulotomy and the fixation methods remain debatable. Open reduction and internal fixation through a Watson-Jones exposure is the recommended approach. Definitive fixation can be accomplished with three cannulated or noncannulated cancellous screws. Capsulotomy in femoral neck fractures remains a controversial issue and the practice varies by trauma program, region and country. Until there is conclusive data (i.e. prospective and controlled) we recommend performing a capsulotomy. The data available is inconclusive on whether this fracture should be operated emergently, urgently or can wait until the next day. Until there is conclusive data available, we recommend that surgery should be done on an urgent basis. The key factors in treating femoral neck fractures should include early diagnosis, early surgery, anatomic reduction, capsular decompression and stable internal fixation. Medknow Publications 2008 /pmc/articles/PMC2759588/ /pubmed/19823648 http://dx.doi.org/10.4103/0019-5413.38574 Text en © Indian Journal of Psychiatry http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Ly, Thuan V Swiontkowski, Marc F Management of femoral neck fractures in young adults |
title | Management of femoral neck fractures in young adults |
title_full | Management of femoral neck fractures in young adults |
title_fullStr | Management of femoral neck fractures in young adults |
title_full_unstemmed | Management of femoral neck fractures in young adults |
title_short | Management of femoral neck fractures in young adults |
title_sort | management of femoral neck fractures in young adults |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2759588/ https://www.ncbi.nlm.nih.gov/pubmed/19823648 http://dx.doi.org/10.4103/0019-5413.38574 |
work_keys_str_mv | AT lythuanv managementoffemoralneckfracturesinyoungadults AT swiontkowskimarcf managementoffemoralneckfracturesinyoungadults |