OSTEOSYNTHESIS OF FRACTURES NECK FEMUR: A SYSTEMATIC REVIEW

Authors

  • Dhanang Susilo Faculty of Medicine, Sultan Agung Islamic University, Indonesia Author

Keywords:

Femur neck fratcure, Fixation, Osteoshyntesis

Abstract

Introduction: US hip fractures exceed 250,000 each year. Femoral neck and intertrochanteric fractures are equally diagnosed. This number will double by 2050. Cannulated screws, hip screw systems, proximal femur plates, and cephalomedullary nails can treat femoral neck fractures. These procedures are evaluated for biomechanical stability.

The aim: This article discusses osteosynthesis in patients with femoral neck fractures.

Methods: By comparing itself to the standards set by the Preferred Reporting Items for Systematic Review and MetaAnalysis (PRISMA) 2020, this study was able to show that it met all of the requirements. So, the experts were able to make sure that the study was as up-to-date as it was possible to be. For this search approach, publications that came out between 2013 and 2023 were taken into account. Several different online reference sources, like Pubmed and SagePub, were used to do this. It was decided not to take into account review pieces, works that had already been published, or works that were only half done.

Result: In the PubMed database, the results of our search brought up 123 articles, whereas the results of our search on SagePub brought up 72 articles. The results of the search conducted for the last year of 2013 yielded a total 75 articles for PubMed and 16 articles for SagePub. In the end, we compiled a total of 24 papers, 17 of which came from PubMed and seven of which came from SagePub. We included five research that met the criteria.

Conclusion: Osteosynthesis is the medical word for joining fracture ends using metal plates, pins, rods, wires, or screws. It's called "osteosynthesis." After a maxillofacial injury, fracture reduction and stabilisation are necessary to restore facial tissues to their pre-injury state. Especially after maxillofacial trauma. Primary arthroplasty may be considered for Garden-I and II femoral neck fractures with posterior tilt ≥20°, especially among older patients.

References

Chapman MW. Chapman’s orthopaedic surgery. 4th ed. Boston: Lippincot Williams Wilkins; 2011.

Morrissey N, Iliopoulos E, Osmani AW, Newman K. Neck of femur fractures in the elderly: does every hour to surgery count? Injury. 2017;48(6):1155–8.

Bäcker HC, Wu CH, Maniglio M, Wittekindt S, Hardt S, Perka C. Epidemiology of proximal femoral fractures. J Clin Orthop trauma. 2021;12(1):161–5.

Donnelly E, Saleh A, Unnanuntana A, Lane JM. Atypical femoral fractures: epidemiology, etiology, and patient management. Curr Opin Support Palliat Care. 2012;6(3):348.

Filipov O. Epidemiology and social burden of the femoral neck fractures. J IMAB–Annual Proceeding Sci Pap. 2014;20(4):516–8.

Thein R, Herman A, Kedem P, Chechik A, Shazar N. Osteosynthesis of Unstable Intracapsular Femoral Neck

Fracture by Dynamic Locking Plate or Screw Fixation: Early Results. J Orthop Trauma [Internet] 2014;28(2). Available from: https://journals.lww.com/jorthotrauma/Fulltext/2014/02000/Osteosynthesis_of_Unstable_Intracapsular_Femoral.2.

aspx

Yousrya AH, El-Beshrya SS, Benyameen GN. Fixation of unstable neck femur fractures in adults, review article. Egypt J Hosp Med. 2017;68(3):1374–80.

Beale B. Orthopedic clinical techniques femur fracture repair. Clin Tech Small Anim Pract. 2004;19(3):134–50.

Zacherl M, Gruber G, Glehr M, Ofner-Kopeinig P, Radl R, Greitbauer M, et al. Surgery for pathological proximal femoral fractures, excluding femoral head and neck fractures: resection vs. stabilisation. Int Orthop. 2011;35:1537– 43.

Sonar U V, Ingle M V, Koichade MR, Yelne AB, Malu N. Comparative study between trochanteric fixation nailing and cemented bipolar hemiarthroplasty for the treatment of unstable osteoporotic intertrochanteric neck femur fractures in elderly patients. IOSR J Dent Med Sci. 2014;3:31–40.

Cuellar DO 3rd, Garcia Velez DA, Bledsoe G, Tracy Watson J. Hybrid screw fixation for femoral neck fractures: Does it prevent mechanical failure? Injury. 2022 Aug;53(8):2839–45.

Okike K, Udogwu UN, Isaac M, Sprague S, Swiontkowski MF, Bhandari M, et al. Not All Garden-I and II Femoral Neck Fractures in the Elderly Should Be Fixed: Effect of Posterior Tilt on Rates of Subsequent Arthroplasty. J Bone Joint Surg Am. 2019 Oct;101(20):1852–9.

Filipov O, Stoffel K, Gueorguiev B, Sommer C. Femoral neck fracture osteosynthesis by the biplane doublesupported screw fixation method (BDSF) reduces the risk of fixation failure: clinical outcomes in 207 patients. Arch Orthop Trauma Surg [Internet] 2017;137(6):779–88. Available from: https://doi.org/10.1007/s00402-017-2689-8

Fracture fixation in the operative management of hip fractures (FAITH): an international, multicentre, randomised controlled trial. Lancet (London, England). 2017 Apr;389(10078):1519–27.

von Keudell A, Shoji K, Nasr M, Lucas R, Dolan R, Weaver MJ. Treatment options for distal femur fractures. J Orthop Trauma. 2016;30:S25–7.

American College of Surgeons. Advanced Trauma Life Support (ATLS). USA; 2018.

Rogers NB, Hartline BE, Achor TS, Kumaravel M, Gary JL, Choo AM, et al. Improving the diagnosis of ipsilateral femoral neck and shaft fractures: a new imaging protocol. JBJS. 2020;102(4):309–14.

Bernstein EM, Kelsey TJ, Cochran GK, Deafenbaugh BK, Kuhn KM. Femoral neck stress fractures: an updated review. J Am Acad Orthop Surg. 2022;30(7):302–11.

Davidson A, Blum S, Harats E, Kachko E, Essa A, Efraty R, et al. Neck of femur fractures treated with the femoral neck system: outcomes of one hundred and two patients and literature review. Int Orthop. 2022;46(9):2105–15.

Clement ND, Green K, Murray N, Duckworth AD, McQueen MM, Court-Brown CM. Undisplaced intracapsular hip fractures in the elderly: predicting fixation failure and mortality. A prospective study of 162 patients. J Orthop Sci Off J Japanese Orthop Assoc. 2013 Jul;18(4):578–85.

Conn KS, Parker MJ. Undisplaced intracapsular hip fractures: results of internal fixation in 375 patients. Clin Orthop Relat Res. 2004 Apr;(421):249–54.

Downloads

Published

2023-08-10

How to Cite

Susilo, D. (2023). OSTEOSYNTHESIS OF FRACTURES NECK FEMUR: A SYSTEMATIC REVIEW. Journal of Advanced Research in Medical and Health Science (ISSN 2208-2425), 9(8), 106-112. http://jarmhs.com/MHS/index.php/mhs/article/view/244

Similar Articles

You may also start an advanced similarity search for this article.