EVALUATION OF CLOSED REDUCTION AND INTERNAL FIXATION AND EVACUATION OF JOINT HEMATOMA IN THE TREATMENT OF FRACTURES OF THE NECK OF FEMUR

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ENSAFDARAN A.; EMAMI M.

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Journal: JOURNAL OF MEDICAL RESEARCH (JMR) Year:2004 | Volume:3 | Issue:1 Page(s): 22-30

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Title

EVALUATION OF CLOSED REDUCTION AND INTERNAL FIXATION AND EVACUATION OF JOINT HEMATOMA IN THE TREATMENT OF FRACTURES OF THE NECK OF FEMUR

Author(s)

ENSAFDARAN A. | EMAMI M. | Issue Writer Certificate

Keywords

FRACTUREQ3

NECK OF FEMURQ4

FIXATIONQ4

EVACUATIONQ4

JOINT HEMATOMAQ4

Abstract

Background: FRACTURE of NECK OF FEMUR has always presented great challenges to orthopedic surgeons. Redisplacement and impending non-union can occur almost immediately or up to several months after FIXATION. Avascular necrosis (AVN), the major complication, can be Seen as early as 6-9 months but most typically occurs during the second year after FRACTURE. Patients and Methods: Over an eight-year period (1993-2001), 78 consecutive cases of femoral neck FRACTURE who were referred to Chamran Hospital, affiliated to Shiraz University of Medical Sciences, were treated by a single surgeon by closed reduction under fluoroscopy and fixed by three cannulated screws. Then, miniarthrotomy was performed for removal of hematoma and joint decompression. FRACTUREs were classified according to Garden classification and clinical evaluation was done by Hams Hip Scoring. Results: From 78 patients with an average age of 40.3 years, 42 were female and 36 were male. At follow-up of about 2.5 years, 42.3 percent were rated as excellent, 33.3 percent as good, 15.4 percent as fair and 9 percent as poor. Avascular necrosis of the femoral head was seen in 16.66 percent, and delayed union in 6.4 percent of the patients. No non-union was recorded. Conclusion: It seems that joint decompression may decrease the rate of AVN in femoral neck FRACTURE. Aspiration of JOINT HEMATOMA by angiocatheter or miniarthrotomy in the treatment of FRACTURE of NECK OF FEMUR may reduce the avascular necrosis.

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APA: Copy

ENSAFDARAN, A., & EMAMI, M.. (2004). EVALUATION OF CLOSED REDUCTION AND INTERNAL FIXATION AND EVACUATION OF JOINT HEMATOMA IN THE TREATMENT OF FRACTURES OF THE NECK OF FEMUR. JOURNAL OF MEDICAL RESEARCH (JMR), 3(1), 22-30. SID. https://sid.ir/paper/381187/en

Vancouver: Copy

ENSAFDARAN A., EMAMI M.. EVALUATION OF CLOSED REDUCTION AND INTERNAL FIXATION AND EVACUATION OF JOINT HEMATOMA IN THE TREATMENT OF FRACTURES OF THE NECK OF FEMUR. JOURNAL OF MEDICAL RESEARCH (JMR)[Internet]. 2004;3(1):22-30. Available from: https://sid.ir/paper/381187/en

IEEE: Copy

A. ENSAFDARAN, and M. EMAMI, “EVALUATION OF CLOSED REDUCTION AND INTERNAL FIXATION AND EVACUATION OF JOINT HEMATOMA IN THE TREATMENT OF FRACTURES OF THE NECK OF FEMUR,” JOURNAL OF MEDICAL RESEARCH (JMR), vol. 3, no. 1, pp. 22–30, 2004, [Online]. Available: https://sid.ir/paper/381187/en

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