Contralateral Neck-shaft Angle Lower Than 130 ° Is Associated With Clinical Failure in Nongeriatric Individuals: Analysis of the National Femoral Neck Fracture Database of 1066 Patients

CONCLUSION: In our study of screw fixations for femoral neck fractures among nongeriatric patients, we identified that a contralateral NSA < 130° correlates with an increased risk of clinical failure including nonunion, AVN, functional failure, and reoperation. The effect is either direct or mediated through displaced fracture types. This is important for surgeons in order to recognize the elevated rate of clinical failure and nature of the challenging biomechanical environment, which should guide them in refining surgical details and selecting appropriate fixation and rehabilitation plans. Approaches to managing these fractures require further validation with large-scale clinical trials.LEVEL OF EVIDENCE: Level III, prognostic study.PMID:38662919 | DOI:10.1097/CORR.0000000000003071
Source: Clinical Orthopaedics and Related Research - Category: Orthopaedics Authors: Source Type: research