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Abstract
Medical records and radiographs of 52 patients were studied after inclusion/exclusion
criteria were met. The anatomical location of proximal femoral fractures that involved
the femoral neck were examined after the primary fracture planes were drawn onto templates
of the proximal femur. The AO classification is compre-hensive and widely accepted.
It has not been used in this injury combination in a large series of patients. Therefore,
we classified each fracture by the AO method and then the AO classes were tabulated
and analysed. Only three patterns of proximal femoral fractures appeared. The inferior
aspect of the fracture line clustered in the inferomedial aspect of the femoral neck
above an intact lesser trochanter in each separate pattern: 55 per cent were AO B2.1
(basilar); 35 per cent AO B2.3 (intracapsular); and 10 per cent AO A1.2 (pertrochanteric)
fractures). Eleven fractures (21 per cent) were not detected initially. None of these
were A1.2, eight were B2.1 and three were B2.3. Despite many proximal femoral fracture
types reported in the literature only three fracture patterns were noted in this large
study group. A new finding of clustering of these fractures in the inferomedial femoral
neck was noted. AO class B2.1 fractures were the most common fractures missed at initial
presentation and were the most common type seen.
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Article info
Publication history
Accepted:
November 24,
1996
Identification
Copyright
© 1997 Published by Elsevier Inc.
