Essential role of reliable reduction quality in internal fixation of femoral neck fractures in the non-elderly patients-a propensity score matching analysis

• Published in: BMC musculoskeletal disorders 2022-04, Vol.23 (1), p.346-346, Article 346
• Main Authors: Qiu, Longhai, Huang, Yuliang, Li, Guowen, Wu, Hongbo, Zhang, Yu, Zhang, Zhiwen
• Format: Article
• Language: English
• Subjects: Adult; Age; Arthroplasty; Body mass index; Bone surgery; Classification; Closed reduction; Diabetes; Femoral neck fractures; Femoral Neck Fractures - surgery; Femur; Fracture Fixation, Internal - methods; Fractures; Hip joint; Hospitals; Humans; Injuries; Internal fixation; Internal fixation in fractures; Joint replacement surgery; Joint surgery; Middle Aged; Musculoskeletal diseases; Necrosis of femoral head; Older people; Patients; Propensity Score; Reoperation; Retrospective Studies; Statistical analysis; Survival; Survival analysis; Trauma; Treatment Outcome; Variables; X-rays
• ISSN: 1471-2474; 1471-2474
• DOI: 10.1186/s12891-022-05307-8

The rate of failure of internal fixation for femoral neck fractures has remained largely unchanged over the past 30 years. The current study attempted to identify the controllable variables influencing the failure of internal fixation of femoral neck fractures. The study included 190 patients aged from 20 to 65 with femoral neck fracture caused by low energy violent injuries (fall from standing height), who were treated with multiple cannulated screws over the period 2005-2019 at a single centre. Kaplan-Meier (KM) survival analysis was firstly utilized to evaluate the potential interaction between each variable and cumulative rates of reoperation. If P