Summary
This investigation compares two groups of patients with fractures of the femoral neck: 22 required a further operation and 72 did not. Special attention was paid to osteoporosis, the displacement of the fracture, viability of the femoral head, operative impaction and osteosynthesis with a Thornton nail or three Scand hip pins. There was a significant (p<0.01) difference between the two groups with regard to osteoporosis, fracture displacement and viability of the femoral head. Scand hip pins, as compared to Thornton nails, showed a tendency (p<0.1) to need a smaller number of reoperations. Operative impaction compared with no impaction showed no difference.
Résumé
Ce travail compare deux groupes de malades présentant une fracture du col du fémur: 22 ayant dû être réopérés et 72 non. On a particulièrement étudié l'ostéoporose, le redéplacement de la fracture, la vitalité de la tête fémorale, la réduction avec compression peropératoire et le type d'ostéosynthèse: par un clou de Thornton ou trois broches de Scand. On a mis en évidence une différence significative (p<0.01) entre les deux groupes en ce qui concerne l'ostéoporose, le redéplacement de la fracture et la vitalité de la tête du fémur. Les broches de Scand comparées aux clous de Thornton ont montré une tendance (p<0.1) à déterminer moins de réinterventions. La compression ou l'absence de compression peropératoire n'ont entraîné aucune différence.
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Dalen, N., Jacobsson, B. Factors influencing the incidence of reoperation after femoral neck fractures. International Orthopaedics 9, 235–237 (1985). https://doi.org/10.1007/BF00266509
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DOI: https://doi.org/10.1007/BF00266509