Document Type
Original Article
Abstract
Background: A sizeable shear load at the fracture site, as may occur with a vertical fracture pattern in these situations, has been correlated with a greater likelihood of internal fixation failure. Nonunion rates range from 16% to 59% for Pauwels type 3 femoral neck fractures, while osteonecrosis rates range from 11% to 86% because of the significant shear pressures involved in fixing these fractures. Any attempt to treat a femoral neck fracture that does not include anatomic reduction & stable internal fixation is destined for failure.
Aims and objectives: The focus of this research was to contrast the radiographic and functional consequences of repairing unstable femoral neck fractures with a medial buttress plate (MBP) and a cannulated screw (CS).
Patients and methods: Patients were recruited from the orthopedic surgery department of the Damietta Faculty of Medicine, Al-Azhar University.
Results: Of the examined cases, 17 were males (85%) and 3 were females (15%). The mean operative time was 90.71 ± 11.43 minutes, and the mean hospital stay was 4.16 ± 1.54 days. 10% of the patients suffered from nonunion, 5% from pain, and 5% from infection.Meanwhile, two patients reported femoral neck shorting. 12 (60%) cases were excellent, and 5 (25%) were good. Although only two cases were fair and one case was poor.
Conclusion: MBP augmentation to CSs as a means of stabilizing fractures of the femoral neck showed excellent outcomes with minimal postoperative complications and high union rates.
Keywords
Medial buttress plate; Neck femur; Vertical unstable fracture
Subject Area
Orthopedics
How to Cite This Article
El shora, Samir Ahmed; El Said, Mahmoud Mohamed; and Abdelmoaty, Ahmed Metwaly Abdelrahmann
(2024)
"Medial Buttress Plate Augmentation To Cannulated Screws In Vertical Unstable Fracture Neck Femur,"
Al-Azhar International Medical Journal: Vol. 5:
Iss.
4, Article 34.
DOI: https://doi.org/10.58675/2682-339X.2378
