Surgical treatment of displaced stress fractures of the femoral neck in military recruits

A report of 42 case

Chian Her Lee, G. S. Huang, K. H. Chao, J. L. Jean, S. S. Wu

Research output: Contribution to journalArticle

61 Citations (Scopus)

Abstract

Background: Stress fracture of the femoral neck (SFFN) is one of the severe complications of military training. Displaced SFFN may result in avascular necrosis of the femoral head (AVNFH). The purpose of this study was to evaluate the results of surgical treatment of the displaced SFFN. Methods: Forty-two patients with displaced SFFN requiring internal fixation were treated with compression hip screw (17 cases) or multiple cancellous screws (25 cases). Forty-two patients were followed for an average of 5.6 years after operation. At the follow-up evaluation, routine radiographs were used to evaluate the fracture alignment and healing, and bone scan was used for fractures that were suspected of AVNFH. The functional assessments described by Arnold et al. were used to evaluate the functional results of surgical treatment. Results: Seven (28%) of the 25 patients treated with multiple cancellous screws developed AVNFH during the period of follow-up. Of these seven patients, five were treated with prosthetic replacement and two treated with core decompression and bone graft. Three (17.6%) of the 17 patients treated with compression hip screw had AVNFH, and they were all treated with prosthetic replacement. The mean duration between fracture and surgery was significantly longer in patients with AVNFH (5.9 days) than in patients without AVNFH (1.9 days)(P

Original languageEnglish
Pages (from-to)527-533
Number of pages7
JournalArchives of Orthopaedic and Trauma Surgery
Volume123
Issue number10
DOIs
Publication statusPublished - Dec 2003
Externally publishedYes

Fingerprint

Stress Fractures
Femur Head Necrosis
Femur Neck
Therapeutics
Hip
Bone and Bones
Fracture Healing
Decompression
Transplants

Keywords

  • Avascular necrosis of femoral head
  • Femoral neck
  • Stress fracture

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Surgical treatment of displaced stress fractures of the femoral neck in military recruits : A report of 42 case. / Lee, Chian Her; Huang, G. S.; Chao, K. H.; Jean, J. L.; Wu, S. S.

In: Archives of Orthopaedic and Trauma Surgery, Vol. 123, No. 10, 12.2003, p. 527-533.

Research output: Contribution to journalArticle

@article{a28a2858501147009fc90a2a16217ce7,
title = "Surgical treatment of displaced stress fractures of the femoral neck in military recruits: A report of 42 case",
abstract = "Background: Stress fracture of the femoral neck (SFFN) is one of the severe complications of military training. Displaced SFFN may result in avascular necrosis of the femoral head (AVNFH). The purpose of this study was to evaluate the results of surgical treatment of the displaced SFFN. Methods: Forty-two patients with displaced SFFN requiring internal fixation were treated with compression hip screw (17 cases) or multiple cancellous screws (25 cases). Forty-two patients were followed for an average of 5.6 years after operation. At the follow-up evaluation, routine radiographs were used to evaluate the fracture alignment and healing, and bone scan was used for fractures that were suspected of AVNFH. The functional assessments described by Arnold et al. were used to evaluate the functional results of surgical treatment. Results: Seven (28{\%}) of the 25 patients treated with multiple cancellous screws developed AVNFH during the period of follow-up. Of these seven patients, five were treated with prosthetic replacement and two treated with core decompression and bone graft. Three (17.6{\%}) of the 17 patients treated with compression hip screw had AVNFH, and they were all treated with prosthetic replacement. The mean duration between fracture and surgery was significantly longer in patients with AVNFH (5.9 days) than in patients without AVNFH (1.9 days)(P",
keywords = "Avascular necrosis of femoral head, Femoral neck, Stress fracture",
author = "Lee, {Chian Her} and Huang, {G. S.} and Chao, {K. H.} and Jean, {J. L.} and Wu, {S. S.}",
year = "2003",
month = "12",
doi = "10.1007/s00402-003-0579-8",
language = "English",
volume = "123",
pages = "527--533",
journal = "Archiv fur orthopadische und Unfall-Chirurgie",
issn = "0003-9330",
publisher = "Springer Verlag",
number = "10",

}

TY - JOUR

T1 - Surgical treatment of displaced stress fractures of the femoral neck in military recruits

T2 - A report of 42 case

AU - Lee, Chian Her

AU - Huang, G. S.

AU - Chao, K. H.

AU - Jean, J. L.

AU - Wu, S. S.

PY - 2003/12

Y1 - 2003/12

N2 - Background: Stress fracture of the femoral neck (SFFN) is one of the severe complications of military training. Displaced SFFN may result in avascular necrosis of the femoral head (AVNFH). The purpose of this study was to evaluate the results of surgical treatment of the displaced SFFN. Methods: Forty-two patients with displaced SFFN requiring internal fixation were treated with compression hip screw (17 cases) or multiple cancellous screws (25 cases). Forty-two patients were followed for an average of 5.6 years after operation. At the follow-up evaluation, routine radiographs were used to evaluate the fracture alignment and healing, and bone scan was used for fractures that were suspected of AVNFH. The functional assessments described by Arnold et al. were used to evaluate the functional results of surgical treatment. Results: Seven (28%) of the 25 patients treated with multiple cancellous screws developed AVNFH during the period of follow-up. Of these seven patients, five were treated with prosthetic replacement and two treated with core decompression and bone graft. Three (17.6%) of the 17 patients treated with compression hip screw had AVNFH, and they were all treated with prosthetic replacement. The mean duration between fracture and surgery was significantly longer in patients with AVNFH (5.9 days) than in patients without AVNFH (1.9 days)(P

AB - Background: Stress fracture of the femoral neck (SFFN) is one of the severe complications of military training. Displaced SFFN may result in avascular necrosis of the femoral head (AVNFH). The purpose of this study was to evaluate the results of surgical treatment of the displaced SFFN. Methods: Forty-two patients with displaced SFFN requiring internal fixation were treated with compression hip screw (17 cases) or multiple cancellous screws (25 cases). Forty-two patients were followed for an average of 5.6 years after operation. At the follow-up evaluation, routine radiographs were used to evaluate the fracture alignment and healing, and bone scan was used for fractures that were suspected of AVNFH. The functional assessments described by Arnold et al. were used to evaluate the functional results of surgical treatment. Results: Seven (28%) of the 25 patients treated with multiple cancellous screws developed AVNFH during the period of follow-up. Of these seven patients, five were treated with prosthetic replacement and two treated with core decompression and bone graft. Three (17.6%) of the 17 patients treated with compression hip screw had AVNFH, and they were all treated with prosthetic replacement. The mean duration between fracture and surgery was significantly longer in patients with AVNFH (5.9 days) than in patients without AVNFH (1.9 days)(P

KW - Avascular necrosis of femoral head

KW - Femoral neck

KW - Stress fracture

UR - http://www.scopus.com/inward/record.url?scp=0346258332&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0346258332&partnerID=8YFLogxK

U2 - 10.1007/s00402-003-0579-8

DO - 10.1007/s00402-003-0579-8

M3 - Article

VL - 123

SP - 527

EP - 533

JO - Archiv fur orthopadische und Unfall-Chirurgie

JF - Archiv fur orthopadische und Unfall-Chirurgie

SN - 0003-9330

IS - 10

ER -