Advertisement

Femoral neck fracture in a young person – ORIF but do we use a medial buttress plate as well on the femoral neck?

OTG 23
Published:October 14, 2022DOI:https://doi.org/10.1016/j.injury.2022.10.012
      HISTORY – A 25yo male is involved in a motorbike collision at high speed. ATLS principles are performed, and it is determined that he suffered a left femoral neck fracture, but he is otherwise unhurt (Fig. 1).
      Fig 1
      Fig. 1AP pelvis x-ray in a young 25yo trauma patient demonstrating a left displaced femoral neck fracture.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Injury
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Giordano V
        • Alves DD
        • Paes RP
        • Amaral AB
        • Giordano M
        • Belangero W
        • et al.
        The role of the medial plate for Pauwels type III femoral neck fracture: a comparative mechanical study using two fixations with cannulated screws.
        J Exp Orthop. 2019; 6
        • Nwankwo CD
        • Schimoler P
        • Greco V
        • Kharlamov A
        • Westrick ER
        • Miller MC
        Medial plating of pauwels type III femoral neck fractures decreases shear and angular displacement compared with a derotational screw.
        J Orthop Trauma. 2020; 34: 639-643
        • Ma C
        • Liu Y
        • Liu J
        • Chen L
        • Huang J
        • Luo X
        • et al.
        The role of the medial buttress plate in the treatment of Pauwels type II and III femoral neck fracture in nonelderly patients: a retrospective study and preliminary results.
        BMC Musculoskelet Disord [Internet]. 2022; 23 (Available from:): 1-8https://doi.org/10.1186/s12891-022-05056-8
        • Ye Y
        • Chen K
        • Tian K
        • Li W
        • Mauffrey C
        • Hak DJ.
        Medial buttress plate augmentation of cannulated screw fixation in vertically unstable femoral neck fractures: surgical technique and preliminary results.
        Injury. 2017; 48: 2189-2193
        • Putnam SM
        • Collinge CA
        • Gardner MJ
        • Ricci WM
        • McAndrew CM.
        Vascular anatomy of the medial femoral neck and implications for surface plate fixation.
        J Orthop Trauma. 2019; 33: 111-115
        • Lim EJ
        • Shon HC
        • Cho JW
        • Oh JK
        • Kim J
        • Kim CH.
        Dynamic hip screw versus cannulated cancellous screw in pauwels type ii or type iii femoral neck fracture: a systematic review andmeta-analysis.
        J Pers Med. 2021; 11
        • Su Z
        • Liang L
        • Hao Y.
        Medial femoral plate with cannulated screw for Pauwels type III femoral neck fracture: a meta-analysis.
        J Back Musculoskelet Rehabil. 2021; 34: 169-177
        • Xu JL
        • Liang ZR
        • Xiong BL
        • Zou QZ
        • Lin TY
        • Yang P
        • et al.
        Risk factors associated with osteonecrosis of femoral head after internal fixation of femoral neck fracture:a systematic review and meta-analysis.
        BMC Musculoskelet Disord. 2019; 20: 1-11
        • Bech NH
        • Kloen P.
        Failed medial buttress plating of a femoral neck fracture salvaged with a Pauwels osteotomy: case report and review of literature.
        Trauma Case Reports [Internet]. 2022; 37 (Available from:)100569https://doi.org/10.1016/j.tcr.2021.100569
        • Marchand LS
        • Karns M
        • Higgins TF
        • Aoki SK.
        Femoral neck fracture fixation with a medial buttress plate that led to impingement with hip flexion. A case report.
        JBJS Case Connect. 2019; 9
        • Zhao G
        • Liu M
        • Li B
        • Sun H
        • Wei B
        Clinical observation and finite element analysis of cannulated screw internal fixation in the treatment of femoral neck fracture based on different reduction quality.
        J Orthop Surg Res. 2021; 16: 1-9
        • Kuan FC
        • Yeh ML
        • Hong CK
        • Chiang FL
        • Jou IM
        • Wang PH
        • et al.
        Augmentation by cerclage wire improves fixation of vertical shear femoral neck fractures—a biomechanical analysis.
        Injury [Internet]. 2016; 47 (Available from:): 2081-2086https://doi.org/10.1016/j.injury.2016.07.030