Operative Treatment of Fracture Neck of Femur in Adult  Younger Than 50 Years.

H. Al-Busaisy, Hamdella; FICMS,; MBChB,

	Operative Treatment of Fracture Neck of Femur in Adult Younger Than 50 Years.
KUFA MEDICAL JOURNAL
Article 1, Volume 11, Issue 1, 2008, Pages 61-70
Authors
Hamdella H. Al-Busaisy; ;
Abstract
Abstract: We reviewed the results in 28 consecutive patients with femoral neck fracture, who were younger than 50 years at Al-Hakeem General Hospital from 2004-2006, there were 20 male and 8 female patients, they range in age from 14-50 years(mean 34.2years), 27 patients were involved in high velocity trauma, and 17 patients of them had significant injuries to other organ systems. Intracapsular fractures of neck of femur¬¬¬ in young adults occur as a result of high energy trauma, such as motor-vehicle accident and fall from height, those that occur as a result of simple trauma often associated with predisposing factors such as metabolic bone disease. The initial radiological evaluation done according to AO classification(7,10,12) and there were 4 cases undisplaced fracture, 15 cases displaced transcervical, 9 cases displaced subcapital. Surgical treatment done by 2-3, 6.5 mm AO cancellous screws and then patients followed up clinically (Siwontikwiski)(28,30) and radiologically (Garden Index).(4,19) There were 21.4% of patients developed non-union and 17.9% developed avascular necrosis. The amount of displacement of fracture is important factors in developing specific complications, and successful treatment of displaced fracture depend on achieving anatomical reduction and stable internal fixation. Purpose: 1-To study the results of operative fixation of fracture of neck of femur. 2- To identify the risk factors for non-union and osteonecrosis in adult younger than 50 years.

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