In the fixation of adult femoral neck fractures, does percutaneous hematoma drainage have an effect on bone union?

Background/Aim: Major blood circulation of the femur head is provided by retrograde flow from the medial femoral circumflex artery. The biggest problem here is uncertainty that the fracture hematoma disrupts the feeding of the femoral head. The aim of this study was to evaluate the effect on bone union of percutaneous hematoma punction in femoral neck fractures in patients aged

___

  • 1. Askin SR, Bryan RS. Femoral neck fractures in young adults. Clin Orthop Relat Res. 1976 Jan-Feb;(114):259-64. PMID: 1261119.
  • 2. Robinson CM, Court-Brown CM, McQueen MM, Christie J. Hip fractures in adults younger than 50 years of age. Epidemiology and results. Clin Orthop Relat Res. 1995 Mar;(312):238-46. PMID: 7634609.
  • 3. Damany DS, Parker MJ, Chojnowski A. Complications after intracapsular hip fractures in young adults. A meta-analysis of 18 published studies involving 564 fractures. Injury. 2005 Jan;36(1):131-41. doi: 10.1016/j.injury.2004.05.023.
  • 4. Kregor PJ. The effect of femoral neck fractures on femoral head blood flow. Orthopedics. 1996 Dec;19(12):1031-6; quiz 1037-8. PMID: 8972521.
  • 5. Koval KJ, Zuckerman JD. Femoral Neck Fractures. In: Koval KJ, Zuckerman JD, eds. Hip Fractures. A Practical Guide to Management. New York: Springer; 2000. pp. 49–127.
  • 6. Soto-Hall R, Johnson LH, Johnson RA. Varıatıons In The Intra-Artıcular Pressure Of The Hıp Joınt In Injury And Dısease. A Probable Factor In: Avascular Necrosis. J Bone Joint Surg Am. 1964 Apr;46:509-16. PMID: 14131429.
  • 7. Flynn M. A new method of reduction of fractures of the neck of the femur based on anatomical studies of the hip joint. Injury. 1974 May;5(4):309-17. PMID: 4426685.
  • 8. Garden RS. Low-angle fixation in fractures of the femoral neck. J Bone Joint Surg (Br). 1961; 43:647-63. doi: 10.1302/0301-620X.43B4.647.
  • 9. Pauwels F. Der Schenkelhalsbruch, ein mechanisches problem. Grundlagen des Heilungsvorganges, Prognose und Kausale Therapie. Stuttgart, Germany: Beilagenheft zur Zeitschrift fur Orthop Chirurgie.1935. pp. 64.
  • 10. Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am. 1969 Jun;51(4):737-55. PMID: 5783851.
  • 11. Rodríguez-Merchán EC. In situ fixation of nondisplaced intracapsular fractures of the proximal femur. Clin Orthop Relat Res. 2002 Jun;(399):42-51. PMID: 12011693.
  • 12. Slobogean GP, Sprague SA, Scott T, McKee M, Bhandari M. Management of young femoral neck fractures: is there a consensus? Injury. 2015 Mar;46(3):435-40. doi: 10.1016/j.injury.2014.11.028.
  • 13. Tükenmez M, Çekin T, Perçin S, Tezeren G. Femur Boyun Kırıklarında İnternal Fiksasyon. CÜ Tıp Fakültesi Dergisi. 2004;26(3):131-5.
  • 14. Bulut O, Tükenmez M, Demirel H, Çekin T. Erişkin femur boyun kırıklarında multipl kansellöz vida fiksasyonu. Eklem Hastalıkları ve Cerrahisi. 2004;15(4):183-7.
  • 15. Bonnaire F, Schaefer DJ, Kuner EH. Hemarthrosis and hip joint pressure in femoral neck fractures. Clin Orthop Relat Res. 1998 Aug;(353):148-55. doi: 10.1097/00003086-199808000-00017.
  • 16. Harper WM, Barnes MR, Gregg PJ. Femoral head blood flow in femoral neck fractures. An analysis using intra-osseous pressure measurement. J Bone Joint Surg Br. 1991 Jan;73(1):73-5. doi: 10.1302/0301-620X.73B1.1991780.
  • 17. Rawall S, Bali K, Upendra B, Garg B, Yadav CS, Jayaswal A. Displaced femoral neck fractures in the young: significance of posterior comminution and raised intracapsular pressure. Arch Orthop Trauma Surg. 2012 Jan;132(1):73-9. doi: 10.1007/s00402-011-1395-1.
  • 18. Jain R, Koo M, Kreder HJ, Schemitsch EH, Davey JR, Mahomed NN. Comparison of early and delayed fixation of subcapital hip fractures in patients sixty years of age or less. J Bone Joint Surg Am. 2002 Sep;84(9):1605-12. doi: 10.2106/00004623-200209000-00013.
  • 19. Maruenda JI, Barrios C, Gomar-Sancho F. Intracapsular hip pressure after femoral neck fracture. Clin Orthop Relat Res. 1997 Jul;(340):172-80. doi: 10.1097/00003086-199707000-00022.
  • 20. Dedrick DK, Mackenzie JR, Burney RE. Complications of femoral neck fracture in young adults. J Trauma. 1986 Oct;26(10):932-7. doi: 10.1097/00005373-198610000-00013.
  • 21. Kinik H, Polat O, Mergen E. Femoral neck fractures treated with cannulated screw. Acta Orthopaedica et Traumatologica Turcica. 2006; 33(1):13-17.
  • 22. Zetterberg CH, Irstam L, Andersson GB. Femoral neck fractures in young adults. Acta Orthop Scand. 1982 Jun;53(3):427-35. doi: 10.3109/17453678208992237.