Research Article| Volume 10, ISSUE 4, P281-284, May 1979

Internal fixation of fractures of the neck of the femur in hemiplegic patients

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      There was a history of hemiplegia due to stroke in 97 (6.5 per cent) of 1483 consecutive patients with fresh fractures of the neck of the femur. Both cervical and trochanteric fractures occurred significantly more often on the hemiplegic side. Internal fixation was technically satisfactory in trochanteric fractures, but failed frequently in cervical fractures.
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        • Alffram P.A.
        Epidemiological study of cervical and trochanteric fractures of the femur in an urban population.
        Acta Orthop. Scand. 1964; ([Suppl.]): 65
        • Capiledo R.
        • Clifford R.F.
        • Haberman S.
        New classification of stroke: preliminary communication.
        Br. Med. J. 1977; 2: 1578
        • Frankel V.H.
        • Burstein A.H.
        Orthopaedic Biomechanics. Lea and Febiger, Philadelphia1970: 85-88
        • Goodman C.R.
        Osteoporosis as early complication of hemiplegia.
        NY State J. Med. 1971; 71: 1943
        • Hodkinson H.M.
        • Brain A.T.
        Unilateral osteoporosis in long standing hemiplegia in the elderly.
        J. Am. Geriatr. Soc. 1967; 15: 59
        • Neimann K.M.
        • Mankin H.
        Fractures about the hip in institutionalised patients. II: Survival and ability to walk again.
        J. Bone Joint Surg. 1968; 50A: 1327
        • Peszczynski M.
        Prevention of falls in the hemiplegic patient.
        Geriatrics. 1956; 11: 306
        • Peszczynski M.
        The fractured hip in hemiplegic patients.
        Geriatrics. 1957; 12: 687
        • Riska E.B.
        Factors influencing the primary mortality in the treatment of hip fractures.
        Injury. 1970; 2: 107
        • Soto-Hall R.
        Treatment of transcervical fractures complicated by certain common neurological conditions.
        in: AAOS Instructional Course Lectures. 17. Mosby, St Louis1960: 117
        • Stewart I.M.
        Fractures of the neck of the femur: incidence and implications.
        Br. Med. J. 1955; 1: 698
        • Tronzo R.
        • Whittaker R.
        Tronzo R. Surgery of the Hip Joint. Lea and Febiger, Philadelphia1973: 702
        • Wong P.C.N.
        Prevention of femoral neck fractures in the elderly: a Singapore population study.
        Geriatrics. 1967; 22: 156