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Complete spontaneous improvement of non-displaced femoral neck fracture without any surgery modality

BACKGROUND: Fracture of the femoral neck is still a medical dilemma due to high rates of complications and the choice of treatment. Although rigid internal fixation with cannulated screws through open or percutaneous approaches is the traditional treatment for undisplaced fractures (Garden type I an...

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Autores principales: Azar, Masoud Shayesteh, Saravi, Majid Sajjadi, Kariminasab, Mohammad Hossein, Taghipour, Mehrdad, Sharifian, Rayka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3616177/
https://www.ncbi.nlm.nih.gov/pubmed/23569478
http://dx.doi.org/10.12659/AJCR.882472
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author Azar, Masoud Shayesteh
Saravi, Majid Sajjadi
Kariminasab, Mohammad Hossein
Taghipour, Mehrdad
Sharifian, Rayka
author_facet Azar, Masoud Shayesteh
Saravi, Majid Sajjadi
Kariminasab, Mohammad Hossein
Taghipour, Mehrdad
Sharifian, Rayka
author_sort Azar, Masoud Shayesteh
collection PubMed
description BACKGROUND: Fracture of the femoral neck is still a medical dilemma due to high rates of complications and the choice of treatment. Although rigid internal fixation with cannulated screws through open or percutaneous approaches is the traditional treatment for undisplaced fractures (Garden type I and II) to avoid secondary displacement, considerable controversy still exists regarding the rate of this problem, thus it seems that a new trend in conservative management of this types of femoral neck fracture is emerging. CASE REPORT: Our case is a 46-year-old woman with Garden type II femoral neck fracture, who refused all surgical options and willingly ignored her problem. Six months later she returned to our center with uneventful recovery of her fracture. CONCLUSIONS: The previous belief about the absolute poor prognosis of Garden type II with 100% rate of secondary displacement with non-operative management must have been an overestimation or the success histories in the literature about non-operative treatment of these fractures originates from inherited weakness of the Garden classification in differentiating type I from type II. The patient gave the informed consent prior being included into the study.
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spelling pubmed-36161772013-04-08 Complete spontaneous improvement of non-displaced femoral neck fracture without any surgery modality Azar, Masoud Shayesteh Saravi, Majid Sajjadi Kariminasab, Mohammad Hossein Taghipour, Mehrdad Sharifian, Rayka Am J Case Rep Case Report BACKGROUND: Fracture of the femoral neck is still a medical dilemma due to high rates of complications and the choice of treatment. Although rigid internal fixation with cannulated screws through open or percutaneous approaches is the traditional treatment for undisplaced fractures (Garden type I and II) to avoid secondary displacement, considerable controversy still exists regarding the rate of this problem, thus it seems that a new trend in conservative management of this types of femoral neck fracture is emerging. CASE REPORT: Our case is a 46-year-old woman with Garden type II femoral neck fracture, who refused all surgical options and willingly ignored her problem. Six months later she returned to our center with uneventful recovery of her fracture. CONCLUSIONS: The previous belief about the absolute poor prognosis of Garden type II with 100% rate of secondary displacement with non-operative management must have been an overestimation or the success histories in the literature about non-operative treatment of these fractures originates from inherited weakness of the Garden classification in differentiating type I from type II. The patient gave the informed consent prior being included into the study. International Scientific Literature, Inc. 2012-02-08 /pmc/articles/PMC3616177/ /pubmed/23569478 http://dx.doi.org/10.12659/AJCR.882472 Text en © Am J Case Rep, 2012 This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
spellingShingle Case Report
Azar, Masoud Shayesteh
Saravi, Majid Sajjadi
Kariminasab, Mohammad Hossein
Taghipour, Mehrdad
Sharifian, Rayka
Complete spontaneous improvement of non-displaced femoral neck fracture without any surgery modality
title Complete spontaneous improvement of non-displaced femoral neck fracture without any surgery modality
title_full Complete spontaneous improvement of non-displaced femoral neck fracture without any surgery modality
title_fullStr Complete spontaneous improvement of non-displaced femoral neck fracture without any surgery modality
title_full_unstemmed Complete spontaneous improvement of non-displaced femoral neck fracture without any surgery modality
title_short Complete spontaneous improvement of non-displaced femoral neck fracture without any surgery modality
title_sort complete spontaneous improvement of non-displaced femoral neck fracture without any surgery modality
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3616177/
https://www.ncbi.nlm.nih.gov/pubmed/23569478
http://dx.doi.org/10.12659/AJCR.882472
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