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Osteosynthesis versus endoprosthesis for the treatment of femoral neck fracture in Asian elderly patients

BACKGROUND: The purpose of this study was to compare the clinical results between osteosynthesis and endoprosthesis for femoral neck fractures in asian elderly patients, and to analysis the factors that may affect the failure of osteosynthesis. METHODS: A retrospective review of 382 hips over 65-yea...

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Autores principales: Kang, Joon Soon, Jeon, Yoon Sang, Ahn, Chi Hoon, Roh, Tae Hoon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4932720/
https://www.ncbi.nlm.nih.gov/pubmed/27377906
http://dx.doi.org/10.1186/s12891-016-1123-7
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author Kang, Joon Soon
Jeon, Yoon Sang
Ahn, Chi Hoon
Roh, Tae Hoon
author_facet Kang, Joon Soon
Jeon, Yoon Sang
Ahn, Chi Hoon
Roh, Tae Hoon
author_sort Kang, Joon Soon
collection PubMed
description BACKGROUND: The purpose of this study was to compare the clinical results between osteosynthesis and endoprosthesis for femoral neck fractures in asian elderly patients, and to analysis the factors that may affect the failure of osteosynthesis. METHODS: A retrospective review of 382 hips over 65-year old with femoral neck fracture was done. Within non-displaced fracture group, 81 cases (56.6 %) underwent internal fixation (IF) and with 62 cases (43.3 %) having bipolar hemiarthroplasty (BPHA). As for displaced fracture group, 60 cases (25.1 %) underwent internal fixation (IF) with 179 cases (74.8 %) having BPHA. Average follow-up period for the patients was 36.8 months. Analysis was conducted on complications depending on fracture types and osteoporosis, and clinical evaluation was done on gait capability by using Koval walking ability. RESULTS: In non-displaced group, BPHA group showed statistically significant lower percentage of complications compared to IF group, but re-operation rate and the degradations of Koval score were no significant differences. In displaced group, complication, re-operation rate and the degradations of Koval score of BPHA group were statistically better than those of IF group. Association between osteoporosis and non-union is no statistically significant. CONCLUSIONS: Endoprosthetic replacement could be a primary option for displaced femoral neck fracture in elderly asian patients. The choice of surgical treatment methods of non-displaced fracture in elderly asian patients should be determined carefully considering the age and the presence of osteoporosis.
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spelling pubmed-49327202016-07-06 Osteosynthesis versus endoprosthesis for the treatment of femoral neck fracture in Asian elderly patients Kang, Joon Soon Jeon, Yoon Sang Ahn, Chi Hoon Roh, Tae Hoon BMC Musculoskelet Disord Research Article BACKGROUND: The purpose of this study was to compare the clinical results between osteosynthesis and endoprosthesis for femoral neck fractures in asian elderly patients, and to analysis the factors that may affect the failure of osteosynthesis. METHODS: A retrospective review of 382 hips over 65-year old with femoral neck fracture was done. Within non-displaced fracture group, 81 cases (56.6 %) underwent internal fixation (IF) and with 62 cases (43.3 %) having bipolar hemiarthroplasty (BPHA). As for displaced fracture group, 60 cases (25.1 %) underwent internal fixation (IF) with 179 cases (74.8 %) having BPHA. Average follow-up period for the patients was 36.8 months. Analysis was conducted on complications depending on fracture types and osteoporosis, and clinical evaluation was done on gait capability by using Koval walking ability. RESULTS: In non-displaced group, BPHA group showed statistically significant lower percentage of complications compared to IF group, but re-operation rate and the degradations of Koval score were no significant differences. In displaced group, complication, re-operation rate and the degradations of Koval score of BPHA group were statistically better than those of IF group. Association between osteoporosis and non-union is no statistically significant. CONCLUSIONS: Endoprosthetic replacement could be a primary option for displaced femoral neck fracture in elderly asian patients. The choice of surgical treatment methods of non-displaced fracture in elderly asian patients should be determined carefully considering the age and the presence of osteoporosis. BioMed Central 2016-07-05 /pmc/articles/PMC4932720/ /pubmed/27377906 http://dx.doi.org/10.1186/s12891-016-1123-7 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Kang, Joon Soon
Jeon, Yoon Sang
Ahn, Chi Hoon
Roh, Tae Hoon
Osteosynthesis versus endoprosthesis for the treatment of femoral neck fracture in Asian elderly patients
title Osteosynthesis versus endoprosthesis for the treatment of femoral neck fracture in Asian elderly patients
title_full Osteosynthesis versus endoprosthesis for the treatment of femoral neck fracture in Asian elderly patients
title_fullStr Osteosynthesis versus endoprosthesis for the treatment of femoral neck fracture in Asian elderly patients
title_full_unstemmed Osteosynthesis versus endoprosthesis for the treatment of femoral neck fracture in Asian elderly patients
title_short Osteosynthesis versus endoprosthesis for the treatment of femoral neck fracture in Asian elderly patients
title_sort osteosynthesis versus endoprosthesis for the treatment of femoral neck fracture in asian elderly patients
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4932720/
https://www.ncbi.nlm.nih.gov/pubmed/27377906
http://dx.doi.org/10.1186/s12891-016-1123-7
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