Relationship of Avascular Necrosis of Femoral Head and Accuracy of Reduction in Garden Type III and IV Femoral Neck Fracture following Osteosynthesis

Vol 28 | Issue 1 | Sep 2018 | page: 14-18 | Prashant Arya, Soumyadip Dutta, Aslam Ahmed, Sunit Hazra, Sandip Ray


Authors: Prashant Arya [1], Soumyadip Dutta [2], Aslam Ahmed [3], Sunit Hazra [4], Sandip Ray  [5]

[1] Registrar, Apollo Gleneagles Hospital, Kolkata, West Bengal
[2] Assistant Professor, R.G.Kar Medical College, Kolkata, West Bengal, India
[3] Junior Resident. R.G.Kar Medical College, Kolkata, West Bengal, India
[4] Associate Professor, R.G.Kar Medical College, Kolkata, West Bengal, India
[5] Professor, Dept. Of Orthopaedics, R.G.Kar Medical College, Kolkata, West Bengal

Address of Correspondence
Dr. Soumyadip Dutta
Medica Institute of Orthopedic Sciences, Medica Super Specialty Hospital, Kolkata.


Relationship of Avascular Necrosis of Femoral Head and Accuracy of Reduction in Garden Type III and IV Femoral Neck Fracture following Osteosynthesis


Abstract

Introduction: The most incriminating cause of avascular necrosis following osteosynthesis of femoral neck fracture is still unknown. We investigate its relationship with accuracy of reduction in garden type III and IV femoral neck fracture.
Materials and methods:Thirty patients (M=26) of average age 39.5 years (range 15 to 59) with displaced Garden type III and IV fresh femoral neck fractures are included in this prospective study. Reduction was achieved by closed manipulation in 27 case and 3 had open reduction. Eleven had sliding hip screw and nineteen had cannulated hip screws as internal fixation. Anatomic reduction was obtained in 18 hip (group I) and 12 hips did not have anatomic reduction (group II). All are operated within 7 days (range 1-7).
Results: Patients were followed up for average of 2.5 years (range 1 – 4 years). Avascular necrosis developed in 2
(11.1%)and 5 (41.7%)cases in group I and group II respectively.
Conclusion: Good quality of reduction and stable internal fixation in displaced fracture Garden type III & IV reduce the incidence of avascular necrosis of femoral head.
Keywords: Garden index; Fracture; Femoral neck; AVN.


References


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How to Cite this Article: Arya P, Dutta S, Ahmed A, Hazra S, Ray S. Relationship of avascular necrosis of femoral head and accuracy of reduction in Garden type III and IV femoral neck fracture following osteosynthesis. International Journal of Orthopaedic Surgery July – Dec 2018;28(1):14-18.

 


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