European Journal of Therapeutics
Original Research

Displaced Femoral Neck Fractures: Anatomic Reduction or Early Surgery?


Department of Orthopaedics and Traumatology, University of Gaziantep, Üniversite Bulvarı, Gaziantep, Turkey

Eur J Ther 2021; 27: 1-7
DOI: 10.5152/EurJTher.2020.20002
Read: 163 Downloads: 42 Published: 13 July 2020

Objective: Femoral neck fractures are treated with arthroplasty options in elderly patients. The aim of the treatment in young patients is to protect the hip joint and its functions. In this study, the effect of the timing of surgery and reduction quality on the development of avascular necrosis in patients with Garden type 3 and type 4 femoral neck fractures aged 15-60 years were retrospectively analyzed.

Methods: patients who were treated in our clinic between 2009 and 2016 were evaluated retrospectively. The patients were classified into two groups: those who had surgery within the first 8 hours after injury (mean time 301 min) and those who had surgery 8 or more hours after injury (mean time 1750 min). The patients were classified according to the Garden classification according to their preoperative radiographs. Reduction quality was evaluated with the Garden Alignment Index using postoperative radiographs. Postoperative radiographs were evaluated on the 1st, 2nd, 3rd, 6th, 12th, 18th and 24th month after surgery, and the osteonecrosis classification was made using the Ficat-Arlet method.

Results: No significant differences were found among these 4 groups in terms of operation time, fracture reduction quality and development of avascular necrosis (p>0.05).

How to cite: Karslı B, Gönder N. Displaced Femoral Neck Fractures: Anatomic Reduction or Early Surgery? Eur J Ther 2021; 27(1): 1-7.

EISSN 2564-7040