[Clinical study for preoperative traction on impact of osteonecrosis of femoral head in patients with femoral neck fractures].

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Abstract

[Indexed for MEDLINE] 18. Injury. 2004 Oct;35(10):1003-9. doi: 10.1016/j.injury.2003.07.001. Retrospective analysis of factors influencing the operative result after percutaneous osteosynthesis of intracapsular femoral neck fractures. Schep NW(1), Heintjes RJ, Martens EP, van Dortmont LM, van Vugt AB. Author information: (1)Department of Surgery Reinier de Graaf Hospital, Renier de Graaf Weg 3-11, 2625 AD Delft, The Netherlands. n.w.l.shep@chir.azu.nl A retrospective analysis of 104 patients with an intracapsular femoral neck fracture, treated with closed reduction and internal fixation showed that the Garden classification, the age of the patient and the quality of reduction and fixation are predictors for the final outcome. Fractures with a Garden classification of 1 and 2 have significantly better results than Garden 3 and 4 (P < 0.01). An unsuccessful reduction of the fracture and a poor surgical fixation technique had significant effect on the outcome (P = 0.01 and 0.02, respectively). If internal fixation is considered, the reduction and the technique of fixation should be perfect. DOI: 10.1016/j.injury.2003.07.001