CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2019; 54(04): 408-415
DOI: 10.1016/j.rbo.2017.12.021
Artigo Original | Original Article
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda Rio de Janeiro, Brazil

Factors Influencing the Outcome of Osteosynthesis in the Fracture of the Femoral Neck in Young Adult Patients[*]

Article in several languages: português | English
Daniel Alves Ramallo
1  Centro de Trauma, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil
,
Leandro Lemgruber Kropf
1  Centro de Trauma, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil
,
Alexandre Dreifus Zaluski
1  Centro de Trauma, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil
,
Amanda dos Santos Cavalcanti
2  Centro de Pesquisa Clínica, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil
,
Maria Eugenia Leite Duarte
2  Centro de Pesquisa Clínica, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil
,
1  Centro de Trauma, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil
2  Centro de Pesquisa Clínica, Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brasil
› Author Affiliations
Further Information

Publication History

28 September 2017

22 December 2017

Publication Date:
20 August 2019 (online)

Abstract

Objectives To evaluate the factors that influence the outcome of osteosynthesis after closed reduction of the fracture of the femoral neck in young adult patients.

Methods A retrospective study was conducted, reviewing the data of patients operated in a large orthopedic hospital from 2003 to 2011; a total of 81 patients met the inclusion criteria. The time interval between the fracture and the surgery, the initial fracture deviation, the quality of the reduction, and the placement of the implant were evaluated.

Results The present study observed a strong relationship between the quality of the reduction and therapeutic success. The degree of the initial deviation and the time elapsed between the initial trauma and the osteosynthesis did not influence the surgical outcome regarding bone consolidation. The correct positioning of the implants was associated with a satisfactory evolution in the postoperative period.

Conclusion The quality of the reduction and the positioning of the implants are factors that influence the results of osteosynthesis in fractures of the femoral neck in young adult patients.

* Work performed at the Centro de Atenção Especializada de Trauma (CAE Trauma), Instituto Nacional de Traumatologia e Ortopedia (Into), Rio de Janeiro, RJ, Brazil .Originally Published by Elsevier Editora Ltda.