TITLE:
Results of Femoral Neck Fractures Screwing in Adults at University Hospital of Brazzaville
AUTHORS:
Marius Monka, Carine Mboutol Mandavo, Kevin Bouhélo-Pam, Albert Ngatsé-Oko, Patrick W. H. Dakouré, Armand Moyikoua
KEYWORDS:
Screwing, Fracture, Femoral Neck
JOURNAL NAME:
Open Journal of Orthopedics,
Vol.8 No.6,
June
7,
2018
ABSTRACT: Purpose: The
good of this survey was to analyze the epidemiological aspects and evaluate
anatomical and functional results of the treatment by screwing of femoral neck
fracture in adulthood at the Teaching Hospital of an underequipped country. Material
and Methods: This is a retrospective study from January 1, 2011 to December
31, 2015, concerning patients hospitalized for fractures of femoral neck and
having been operated by screwing. The variables studied were epidemiological
and therapeutic aspects. Anatomical results were examined on standard x
rays of the pelvis in front and the hip in profil, based on the consolidation
of the bony axis. Functional results were analyzed according to the quotation
of Postel Merle D’Aubigné. Results: Eleven screwings of femoral neck
have been done to 11 patients (9 men and 2 women), average age was 47 years (29
and 60 years) from January 2011 to December 2015, at the mean recoil of 19
months (12 and 24 months). Amongst
consolidated patients (n = 7), one patient presented a necrosis of femoral head
at two years hindsight. Four patients presented an aseptic pseudarthrosis of
femoral neck, or a bad anatomical result. Amidst this group of patients, one
underwent a joint replacement type Moore and suggestion of intermediary
prothesis was recommended to three patients. According to the quotation of
Postel Merle D’Aubigné, results were very satisfactory to 5 patients, good to 2
patients and bad to 4 patients. According to the score of Parker, 7 patients
presented a score of 9 and 4 patients a score of 7. Conclusion: The
treatment of femoral neck fractures in adulthood requires a surgical approach
by osteosynthesis and must be precocious before 24 hours in order to reduce
risks of pseudarthrosis of femoral neck and necrosis of femoral head.