Treatment of Intracapsular Femoral Neck Fracture with Cancellous Bone Screws

概要

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Since 1972 we have treated intracapsular femoral neck fractures withcrosswise inserted double cancellous bone screws. In this paper our technique and the follow-up results are mentioned. The conclusions obtained are as follows:1. Twenty-four of thirty cases were treated successfully.2. Regardless of the age of the patients satisfactory bone union was obtained provided that the surgery was carried out within a month after injury.3. The types of fracture belonging to Garden's stage III and IV and those out of permission on the alignment index were inclined to nonunion. However, these factors were not always the cause of the nonunion.4. In our cases the causes of the nonunion were severely comminuted fracture, early weight bearing or pathologic fracture.5. On the incidence of femoral head collaps in this series it is impossible to express our opinion because of the short period of follow-up.
西日本整形・災害外科学会の論文