Not All Garden-I and II Femoral Neck Fractures in the Elderly Should Be Fixed
Author(s) -
Kanu Okike,
Ugochukwu N. Udogwu,
Marckenley Isaac,
Sheila Sprague,
M.F. Swiontkowski,
Mohit Bhandari,
Gerard P. Slobogean
Publication year - 2019
Publication title -
journal of bone and joint surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.634
H-Index - 260
eISSN - 1058-2436
pISSN - 0021-9355
DOI - 10.2106/jbjs.18.01256
Subject(s) - medicine , surgery , femoral neck , radiography , arthroplasty , internal fixation , confounding , fixation (population genetics) , population , osteoporosis , environmental health
Internal fixation is currently the standard of care for Garden-I and II femoral neck fractures in elderly patients. However, there may be a degree of posterior tilt (measured on preoperative lateral radiograph) above which failure is likely, and primary arthroplasty would be preferred. The purpose of this analysis was to determine the association between posterior tilt and the risk of subsequent arthroplasty following internal fixation of Garden-I and II femoral neck fractures in elderly patients.
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