Predictors of early failure in young patients with displaced femoral neck fractures.
retrospective_cohort · Level III
Where this comes from
- Record sourced from PubMed, PMID 25972697.
- Also identified by DOI 10.1016/j.jor.2014.01.001 and PMC identifier 4421021.
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Abstract
This study compares early failure rates of sliding hip screw (SHS) and cannulated screw (CS) constructs in young patients. Patients <60 years of age, with displaced femoral neck fractures treated with CS or SHS fixation were included. Primary outcome was failure within 6 months. One patient (3%) with SHS fixation and 6 patients (21%) with CS fixation failed within 6 months (P = 0.04). Regression analysis demonstrated type of fixation (P = 0.005) and reduction quality (P = 0.04) are independent predictors of early failure. SHS constructs demonstrate a significantly lower short-term failure rate than CS constructs.
Anatomy
- femur