Treatment of Femoral Neck Fractures Using Compression Hip Screws

We surgically treated 60 cases of femoral neck fractures with compression hip screws (CHS). Of these 60 cases, 57 had extracapsular fractures, 43 of which were stable fractures and 14 unstable fractures. Three cases had intracapsular fractures. We investigated the 60 cases using X-rays before and af...

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Published inOrthopedics & Traumatology Vol. 43; no. 1; pp. 216 - 221
Main Authors Hara, Michiya, Soejima, Yasushi, Higa, Eishuu, Nishino, Ichiro, Goto, Hidefumi, Sakuragi, Kouji
Format Journal Article
LanguageEnglish
Published West-Japanese Society of Orthopedics & Traumatology 1994
Subjects
Bone cut out
Compression hip screw
Coxa vara unstable extracapsular fracture
Online AccessGet full text
ISSN0037-1033
1349-4333
1349-4333
DOI10.5035/nishiseisai.43.216

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Abstract We surgically treated 60 cases of femoral neck fractures with compression hip screws (CHS). Of these 60 cases, 57 had extracapsular fractures, 43 of which were stable fractures and 14 unstable fractures. Three cases had intracapsular fractures. We investigated the 60 cases using X-rays before and after CHS treatment. We found 5 coxa vara and 3 cases with bone cut out of lag screws within unstable extracapsular and intracapsular fractures. The lag screw had moved out of the center and caused a shortage with in the femoral head bone.
AbstractList We surgically treated 60 cases of femoral neck fractures with compression hip screws (CHS). Of these 60 cases, 57 had extracapsular fractures, 43 of which were stable fractures and 14 unstable fractures. Three cases had intracapsular fractures. We investigated the 60 cases using X-rays before and after CHS treatment. We found 5 coxa vara and 3 cases with bone cut out of lag screws within unstable extracapsular and intracapsular fractures. The lag screw had moved out of the center and caused a shortage with in the femoral head bone.
Author Sakuragi, Kouji
Hara, Michiya
Goto, Hidefumi
Nishino, Ichiro
Higa, Eishuu
Soejima, Yasushi
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  fullname: Sakuragi, Kouji
  organization: Department of Orthopaedic Surgery, Kurate Town Hospital
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References 1) Apel D. M et al.: Axial loading studies of unstable intertrochanteric fractures of the femur. Clin. Orthop. 246: 156-164, 1989.
2) Chang W. S et al.: Biomechanical evaluation of anatomic reduction versus medial displacement osteotomy in unstable intertrochanteric fractures. Clin. Orthop. 225: 141-146, 1987.
6) Sarmiento A et al.: The Unstable Intertrochanteric Fracture: Treatment with a Valgus steotomy and I-Beam Nail Plate. J. Bone Joint Surg. 52-A: 1309 1318, 1970.
4) 飯田鴎二: 大腿骨頚部外側骨折. 整・災外 29: 789-790, 1986.
3) Dimon J. H et al.: Unstable Intertrochanteric Fractures of the Hip. J. Bone Joint Surg. 49-A: 440 450, 1967.
5) Evans E. M: The treatment of trochanteric fractures of the femur. J. Bone Joint Surg. 31-B: 190 203, 1949.
References_xml – reference: 3) Dimon J. H et al.: Unstable Intertrochanteric Fractures of the Hip. J. Bone Joint Surg. 49-A: 440 450, 1967.
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– reference: 6) Sarmiento A et al.: The Unstable Intertrochanteric Fracture: Treatment with a Valgus steotomy and I-Beam Nail Plate. J. Bone Joint Surg. 52-A: 1309 1318, 1970.
– reference: 2) Chang W. S et al.: Biomechanical evaluation of anatomic reduction versus medial displacement osteotomy in unstable intertrochanteric fractures. Clin. Orthop. 225: 141-146, 1987.
– reference: 4) 飯田鴎二: 大腿骨頚部外側骨折. 整・災外 29: 789-790, 1986.
– reference: 1) Apel D. M et al.: Axial loading studies of unstable intertrochanteric fractures of the femur. Clin. Orthop. 246: 156-164, 1989.
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Snippet We surgically treated 60 cases of femoral neck fractures with compression hip screws (CHS). Of these 60 cases, 57 had extracapsular fractures, 43 of which were...
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SubjectTerms Bone cut out
Compression hip screw
Coxa vara unstable extracapsular fracture
Title Treatment of Femoral Neck Fractures Using Compression Hip Screws
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