Open AccessComputed tomographic evaluation of the proximal femur: A predictive classifcation in displaced femoral neck fracture management
Author(s) -
Narender Kumar Magu,
Sarita Magu,
Rajesh Rohilla,
Amit Batra,
Abhishek Jaipuria,
Amanpreet Singh
Publication year - 2014
Publication title -
indian journal of orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.434
H-Index - 33
eISSN - 1998-3727
pISSN - 0019-5413
DOI - 10.4103/0019-5413.139857
Subject(s) - medicine , femoral head , femoral neck , avascular necrosis , radiography , nonunion , nuclear medicine , femur , radiology , osteosynthesis , surgery , osteoporosis , endocrinology
Femoral neck fracture is truly an enigma due to the high incidence of avascular necrosis and nonunion. Different methods have been described to determine the size of the femoral head fragment, as a small head has been said to be associated with poor outcome and nonunion due to inadequate implant purchase in the proximal fragment. These methods were two dimensional and were affected by radiography techniques, therefore did not determine true head size. Computed tomography (CT) is an important option to measure true head size as images can be obtained in three dimensions. Henceforth, we subjected patients to CT scan of hip in cases with displaced fracture neck of femur. The study aims to define the term small head or inadequate size femoral head" objectively for its prognostic significance.