Complications after internal screw fixation of nondisplaced femoral neck fractures in elderly patients: A systematic review
Yıl: 2020 Cilt: 54 Sayı: 3 Sayfa Aralığı: 337 - 343 Metin Dili: İngilizce DOI: 10.5152/j.aott.2020.03.113 İndeks Tarihi: 25-10-2020
Complications after internal screw fixation of nondisplaced femoral neck fractures in elderly patients: A systematic review
Öz: Objective: Internal fixation with cannulated screws for nondisplaced femoral neck fractures in the elderly has substantialreoperation and mortality rates. The selection of either internal fixation or arthroplasty for nondisplaced femoral neckfracture is debatable.Methods: We performed a systematic review of the literature regarding complications in the internal fixation of nondisplacedfemoral neck fractures in elderly (>60 years old) patients. We searched in multiple databases (PubMed, Web ofScience, Embase, and Cochrane Library) for articles in this area; there was no limitation over the publication year.Results: A total of 1971 patients were identified from 16 published studies. All these patients were over 60 years old. Theminimum follow-up after the surgical procedure was 11 months (range: 11–183 months). A total of 329 fractures (16.7%)with radiographic and clinical failures after fixation were identified with regard to stable femoral neck fractures. The singlemost common complication after surgery was nonunion (129/329), with a pooled percentage of 39.2%. Osteonecrosis wasfound to be the second most common cause of revision surgery (31.9%). The overall reoperation rate attributable to surgicalcomplications was 15.2% (300/1971 patients). Conversion to hip arthroplasty was performed in 244 patients (12.4%) afterprimary fixation.Conclusion: Our study elucidated further the complication rate of nondisplaced femoral neck fractures treated with internalscrew fixation. Since the failure rate of screw fixation for stable femoral neck fractures in elderly patients is not low, webelieve that hemiarthroplasty is a reasonable treatment option in select patients.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Bibliyografik
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| APA | Kim S, Park H, LEE D (2020). Complications after internal screw fixation of nondisplaced femoral neck fractures in elderly patients: A systematic review. , 337 - 343. 10.5152/j.aott.2020.03.113 |
| Chicago | Kim Seung-Ju,Park Hyun-Soo,LEE DONGWOO Complications after internal screw fixation of nondisplaced femoral neck fractures in elderly patients: A systematic review. (2020): 337 - 343. 10.5152/j.aott.2020.03.113 |
| MLA | Kim Seung-Ju,Park Hyun-Soo,LEE DONGWOO Complications after internal screw fixation of nondisplaced femoral neck fractures in elderly patients: A systematic review. , 2020, ss.337 - 343. 10.5152/j.aott.2020.03.113 |
| AMA | Kim S,Park H,LEE D Complications after internal screw fixation of nondisplaced femoral neck fractures in elderly patients: A systematic review. . 2020; 337 - 343. 10.5152/j.aott.2020.03.113 |
| Vancouver | Kim S,Park H,LEE D Complications after internal screw fixation of nondisplaced femoral neck fractures in elderly patients: A systematic review. . 2020; 337 - 343. 10.5152/j.aott.2020.03.113 |
| IEEE | Kim S,Park H,LEE D "Complications after internal screw fixation of nondisplaced femoral neck fractures in elderly patients: A systematic review." , ss.337 - 343, 2020. 10.5152/j.aott.2020.03.113 |
| ISNAD | Kim, Seung-Ju vd. "Complications after internal screw fixation of nondisplaced femoral neck fractures in elderly patients: A systematic review". (2020), 337-343. https://doi.org/10.5152/j.aott.2020.03.113 |
| APA | Kim S, Park H, LEE D (2020). Complications after internal screw fixation of nondisplaced femoral neck fractures in elderly patients: A systematic review. Acta Orthopaedica et Traumatologica Turcica, 54(3), 337 - 343. 10.5152/j.aott.2020.03.113 |
| Chicago | Kim Seung-Ju,Park Hyun-Soo,LEE DONGWOO Complications after internal screw fixation of nondisplaced femoral neck fractures in elderly patients: A systematic review. Acta Orthopaedica et Traumatologica Turcica 54, no.3 (2020): 337 - 343. 10.5152/j.aott.2020.03.113 |
| MLA | Kim Seung-Ju,Park Hyun-Soo,LEE DONGWOO Complications after internal screw fixation of nondisplaced femoral neck fractures in elderly patients: A systematic review. Acta Orthopaedica et Traumatologica Turcica, vol.54, no.3, 2020, ss.337 - 343. 10.5152/j.aott.2020.03.113 |
| AMA | Kim S,Park H,LEE D Complications after internal screw fixation of nondisplaced femoral neck fractures in elderly patients: A systematic review. Acta Orthopaedica et Traumatologica Turcica. 2020; 54(3): 337 - 343. 10.5152/j.aott.2020.03.113 |
| Vancouver | Kim S,Park H,LEE D Complications after internal screw fixation of nondisplaced femoral neck fractures in elderly patients: A systematic review. Acta Orthopaedica et Traumatologica Turcica. 2020; 54(3): 337 - 343. 10.5152/j.aott.2020.03.113 |
| IEEE | Kim S,Park H,LEE D "Complications after internal screw fixation of nondisplaced femoral neck fractures in elderly patients: A systematic review." Acta Orthopaedica et Traumatologica Turcica, 54, ss.337 - 343, 2020. 10.5152/j.aott.2020.03.113 |
| ISNAD | Kim, Seung-Ju vd. "Complications after internal screw fixation of nondisplaced femoral neck fractures in elderly patients: A systematic review". Acta Orthopaedica et Traumatologica Turcica 54/3 (2020), 337-343. https://doi.org/10.5152/j.aott.2020.03.113 |
