Volume 10, Issue 3 (In-Press 2023)
JROS 2023, 10(3): 0-0 |
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Pisoudeh K, Hamadiyan H, Solooki M, Asan E. Assessment of the Rate and Factors Contributing to Surgical Treatment Failure in Patients with Non-Displaced Femoral Neck Fractures from 2011 to 2022. JROS 2023; 10 (3)
URL: http://jros.iums.ac.ir/article-1-2264-en.html
URL: http://jros.iums.ac.ir/article-1-2264-en.html
1- Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Abstract: (71 Views)
Introduction: Fractures of the femoral neck present a considerable challenge for surgeons in the field. This study focuses on a critical issue in understanding the occurrence of treatment failure among individuals who have received surgical fixation for femoral neck fractures. It aims to evaluate the prevalence of treatment failure and identify the associated risk factors in patients with non-displaced femoral neck fractures who have undergone this procedure.
Methods: Data was gathered from individuals with non-displaced femoral neck fractures who received internal fixation from 2011 to 2022, ensuring a minimum follow-up period of one year. The evaluation of treatment failure was conducted using this data. The gathered data were documented in SPSS version 22 and examined through descriptive statistics, including percentages, frequencies, means, and standard deviations. Statistical analysis was conducted using inferential tests such as the T-test, Chi-square test, and Fisher's exact test. A significance level of less than or equal to 0.05 was taken into account.
Findings: Analysis was conducted on data from 60 individuals, with an average age of 50.25 ± 16.94 years. Out of the total, 44 individuals (73.3%) were identified as male. One individual (1.7%) experienced avascular necrosis (AVN), while 7 individuals (11.7%) faced nonunion. A total of 7 cases (11.7%) experienced treatment failure, including one instance of AVN that was also associated with nonunion. Among these, 6 cases (10%) advanced to total hip replacement surgery.
Conclusion: the findings from this study indicate that the fixation of non-displaced femoral neck fractures has a combined incidence of nonunion and avascular necrosis at around 12%. It is advisable to consistently follow up with patients and keep an eye on risk factors after surgery to minimize complications and enable quicker identification of those impacted.
Methods: Data was gathered from individuals with non-displaced femoral neck fractures who received internal fixation from 2011 to 2022, ensuring a minimum follow-up period of one year. The evaluation of treatment failure was conducted using this data. The gathered data were documented in SPSS version 22 and examined through descriptive statistics, including percentages, frequencies, means, and standard deviations. Statistical analysis was conducted using inferential tests such as the T-test, Chi-square test, and Fisher's exact test. A significance level of less than or equal to 0.05 was taken into account.
Findings: Analysis was conducted on data from 60 individuals, with an average age of 50.25 ± 16.94 years. Out of the total, 44 individuals (73.3%) were identified as male. One individual (1.7%) experienced avascular necrosis (AVN), while 7 individuals (11.7%) faced nonunion. A total of 7 cases (11.7%) experienced treatment failure, including one instance of AVN that was also associated with nonunion. Among these, 6 cases (10%) advanced to total hip replacement surgery.
Conclusion: the findings from this study indicate that the fixation of non-displaced femoral neck fractures has a combined incidence of nonunion and avascular necrosis at around 12%. It is advisable to consistently follow up with patients and keep an eye on risk factors after surgery to minimize complications and enable quicker identification of those impacted.
Type of Study: Research Article |
Subject:
Hip surgery
Received: 2024/12/15 | Accepted: 2025/01/5 | Published: 2023/08/7
Received: 2024/12/15 | Accepted: 2025/01/5 | Published: 2023/08/7
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