0
ARTICLE |

Factors Influencing Stability and Necrosis of Impacted Femoral Neck Fractures FREE

Maj Robert E. Bunata, MC; John J. Fahey, MD; Denis B. Drennan, MD
[+] Author Affiliations

Reprint requests to 1791 W Howard St, Chicago 60626 (Dr. Drennan).


JAMA. 1973;223(1):41-44. doi:10.1001/jama.1973.03220010027006
Text Size: A A A
Published online

One hundred fifty-three impacted femoral neck fractures were studied to define the usual initial displacement of these fractures. The average fracture had a Pauwel's angle of 41°, was in valgus, and was only minimally displaced on the lateral view.

All fractures that were either inherently stable or internally fixed healed without incident. However, seven fractures with high Pauwel's angles displaced under conservative management. Statistical analysis confirmed the correlation of fracture stability and Pauwel's angle.

Our incidence of avascular necrosis was 16.9%. Extreme valgus displacement correlated with the occurrence of avascular necrosis.

REFERENCES

Linton P:  On different types of intracapsular fractures of the femoral neck: Surgical investigation of origin, treatment, prognosis, and complications in 365 cases . Acta Chir Scand 90( (suppl 86) ):1-22, 1944;.
Banks HH:  Factors influencing the result in fractures of the femoral neck . J Bone Joint Surg 44A:931-963, 1962;.
Crawford HB:  Conservative treatment of impacted fractures of the femoral neck . J Bone Joint Surg 42:471-479, 1960;.
Crawford HB:  Experience with the non-operative treatment of impacted fractures of the neck of the femur . J Bone Joint Surg 47A:830-831, 1965;.
Lowell JD:  Fractures of the hip . N Engl J Med 274:1418-1425, 1480-1490, 1966;.
Flatmark AL, Lone T:  The prognosis of abduction fractures of the neck of the femur . J Bone Joint Surg 44B:324-327, 1962;.
Bentley G:  Impacted fractures of the neck of the femur . J Bone Joint Surg 50B:551-561, 1968;.
Lilenthal H:  Impacted fractures of the neck of the femur . Surg Gynec Obstet 31:50-51, 1920;.
Speed K:  Locomotion after impacted fracture of the neck of the femur . Ann Surg 79:270-272, 1924;.
Odelberg-Johnson G:  Thirteen cases of impacted medial fractures of the neck of the femur . Acta Chir Scand 63:107-120, 1928;.
Gaenslen FJ:  Fracture of the neck of the femur . JAMA 107:105-114, 1936;.
Cotton FJ:  Hip fractures . J Bone Joint Surg 20:461-468, 1938;.
Christopher F:  Treatment of impacted fracture of the neck of the femur . J Bone Joint Surg 22:161-167, 1940;.
Fielding JW, Wilson HJ, Zickel RE:  A continuing end-result study of intracapsular fractures of the neck of the femur . J Bone Joint Surg 44A:965-974, 1962;.
Green JT, Gay FH:  High femoral neck fractures treated by multiple nail fixation . Clin Orthop 11:177-183, 1958;.
Smith FB:  Effects of rotatory and valgus malposition on blood supply to the femoral head . J Bone Joint Surg 41A:800-815, 1959;.
Frangakis EK:  Intracapsular fractures of the neck of the femur . J Bone Joint Surg 48B:17-30, 1966;.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Linton P:  On different types of intracapsular fractures of the femoral neck: Surgical investigation of origin, treatment, prognosis, and complications in 365 cases . Acta Chir Scand 90( (suppl 86) ):1-22, 1944;.
Banks HH:  Factors influencing the result in fractures of the femoral neck . J Bone Joint Surg 44A:931-963, 1962;.
Crawford HB:  Conservative treatment of impacted fractures of the femoral neck . J Bone Joint Surg 42:471-479, 1960;.
Crawford HB:  Experience with the non-operative treatment of impacted fractures of the neck of the femur . J Bone Joint Surg 47A:830-831, 1965;.
Lowell JD:  Fractures of the hip . N Engl J Med 274:1418-1425, 1480-1490, 1966;.
Flatmark AL, Lone T:  The prognosis of abduction fractures of the neck of the femur . J Bone Joint Surg 44B:324-327, 1962;.
Bentley G:  Impacted fractures of the neck of the femur . J Bone Joint Surg 50B:551-561, 1968;.
Lilenthal H:  Impacted fractures of the neck of the femur . Surg Gynec Obstet 31:50-51, 1920;.
Speed K:  Locomotion after impacted fracture of the neck of the femur . Ann Surg 79:270-272, 1924;.
Odelberg-Johnson G:  Thirteen cases of impacted medial fractures of the neck of the femur . Acta Chir Scand 63:107-120, 1928;.
Gaenslen FJ:  Fracture of the neck of the femur . JAMA 107:105-114, 1936;.
Cotton FJ:  Hip fractures . J Bone Joint Surg 20:461-468, 1938;.
Christopher F:  Treatment of impacted fracture of the neck of the femur . J Bone Joint Surg 22:161-167, 1940;.
Fielding JW, Wilson HJ, Zickel RE:  A continuing end-result study of intracapsular fractures of the neck of the femur . J Bone Joint Surg 44A:965-974, 1962;.
Green JT, Gay FH:  High femoral neck fractures treated by multiple nail fixation . Clin Orthop 11:177-183, 1958;.
Smith FB:  Effects of rotatory and valgus malposition on blood supply to the femoral head . J Bone Joint Surg 41A:800-815, 1959;.
Frangakis EK:  Intracapsular fractures of the neck of the femur . J Bone Joint Surg 48B:17-30, 1966;.
CME Course for:


You need to register in order to view this quiz.


To understand the clinical management of acute heart failure syndromes.
Accreditation Information The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
To view and print your certificate and access a summary of your CME courses go to My CME.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.