An Official Journal of Polish Society of Orthopaedics and Traumatology
ISSN:1897-2276
e-ISSN: 2449-9145
Department of Orthopaedic Surgery, Kaplan Medical Center, Affiliated with Hebrew University Medical School, Jerusalem, Rehovot, Israel
Original Article
Intracapsular hip fractures in the young adult patient: Early vs. late intervention
Author(s):
Philip Rosinsky*, Danielle Elmaliache, Eyal Hendler, Shaul Sagiv and Tavor Hovav
Introduction: The treatment of choice for intracapsular hip fractures in younger patients is reduction and internal fixation as opposed to primary arthroplasty, which is generally reserved for older patients. The long-term potential consequences are avascular necrosis (AVN) and non-union (NU) with reported rates of 23% and 9%, respectively. Previous studies have been in dispute in regard to the effect of time-to-surgery upon the risk of the complications. The purpose of this study was to compare the rates of AVN, NU and to examine the rate of revision arthroplasty after early and delayed fracture fixation.
Methods: This retrospective study included fifty- five adult patients, 65 years and younger, treated with reduction and internal fixation following an intra-capsular hip fracture. The patients were divided into two groups; patients treated with early fracture fixation (E.. Read More»
Select your language of interest to view the total content in your interested language