Tratamiento de las fracturas de cuello femoral con osteosíntesis. Diez claves para el éxito

• Fernando Manuel Bidolegui ^[1] ; Sebastián Pereira ^[1] ; Gabriel Vindver ^[1]
  1. [1] Servicio de Ortopedia y Traumatología, Hospital Sirio Libanés, ECICARO, Ciudad Autónoma de Buenos Aires, Argentina
• Localización: Revista de la Asociación Argentina de Ortopedia y Traumatología, ISSN 1852-7434, Vol. 86, Nº. 1, 2021, págs. 110-121
• Idioma: español
• DOI: 10.15417/issn.1852-7434.2021.86.1.1130
• Títulos paralelos:
  • Treatment of Femoral neck Fractures with Osteosynthesis. Ten Keys to success
• Enlaces
  • Texto completo  1    2  
• Resumen
  • español

    Las fracturas de cuello femoral son un cuadro habitual para el cirujano traumatológico y cuando se elige realizar una osteosíntesis, son muchos los factores por considerar para conseguir un buen resultado y evitar las complicaciones. En este artículo de actualización, intentamos dar 10 claves para el éxito cuando se opta por la reducción y la osteosíntesis como método terapéutico.

  • English

    Femoral neck fracture is a pathology that the trauma surgeon usually faces. When he or she decides to perform osteosynthesis, there are many factors to consider in order to achieve a good result and avoid complications. In this update article we seek to offer 10 keys to success when reduction and osteosynthesis are chosen as the therapeutic method

• Referencias bibliográficas
  • Manninger G, Kazar G, Fekete K, Fekete S, Frenyo F. Significance of urgent (within 6 h) internal fixation in the management of fractures of...
  • Loizou M, Parker J. Avascular necrosis after internal fixation of intracapsular hip fractures; a study of the outcome for 1023 patients. Injury...
  • Upadhyay A, Jain P, Mishra P, Maini L, Gautum VK. Delayed internal fixation of fractures of the neck of the femur in young adults. A prospective,...
  • Papakostidis C, Panagiotopoulos A, Piccioli A, Giannoudis P. Timing of internal fixation of femoral neck fractures. A systematic review and...
  • Pereira S, Calvo X, Lugones A, Vindver G, Bidolegui F. Osteosíntesis con tornillos canulados en fracturas mediales de cadera Factores pronósticos...
  • Egol K, Koval KJ, Oh CK. Does a traction-internal rotation radiograph help to better evaluate fractures of the proximal femur? Bull NYU Hosp...
  • Temmesfeld M, Dolatowski FC, Borthne A, Utvag SE, Hoelsbrekken SE. Cross-table lateral radiographs accurately predict displacement in valgus-impacted...
  • Frandsen P, Andersen P, Christoffersen H, Per B. Thomsen osteosynthesis of femoral neck fracture: The slidingscrew-plate with or without compression....
  • Huang TW, Hsu WH, Peng KT, Lee CY. Effect of integrity of the posterior cortex in displaced femoral neck fractures on outcome after surgical...
  • Rawall S, Bali K, Upendra B, Garg B, Yadav CS, Jayaswal A. Displaced femoral neck fractures in the young: significance of posterior comminution...
  • Rikli D, Goldhahn S, Blauth M, Mehta S, Cunningham M. PIP Study group. Optimizing intraoperative imaging during proximal femoral fracture...
  • Poyanli OS, Soylemez S, Ozkut AT, Uygur E, Kemah B. Precise placement of lag screws in operative treatment of trochanteric femoral fractures...
  • Yang J, Lin L, Chao K, Chuang S, Wu C. Risk factors for nonunion in patients with intracapsular femoral neck fractures treated with three...
  • Florschutz A, Langford J, Haidukewych G, Koval K. Femoral neck fractures: current management. J Orthop Trauma 2015;29(3):121-9. https://doi.org/10.1097/BOT.0000000000000291
  • Chua D, Jaglal SB, Schatzker J. Predictors of early failure of fixation in the treatment of displaced subcapital hip fractures. J Orthop Trauma...
  • Krischak G , Beck A, Wachter N, Jakob R, Kinzl L, Suger G. Relevance of primary reduction for the clinical outcome of femoral neck fractures...
  • Su Y, Chen W, Zhang Q, Li B, Guo M. An irreducible variant of femoral neck fracture: A minimally traumatic reduction technique. Injury 2011;42(2):140-5....
  • Yu S, Xu X, Pandey N, Zhao Y, Jing J. A safe percutaneous technique for the reduction of irreducible femoral neck fractures using ultrasound...
  • Mahajan RH, Kumar S, Mishra B. Technique for gentle accurate reproducible closed reduction of intracapsular fracture of neck of femur. Injury...
  • Watson-Jones R. Fractures of the neck of the femur. Br J Surg 1936;23(92):787-808. https://doi.org/10.1002/bjs.1800239213
  • Smith-Petersen MN. A new supra-articular subperiosteal approach to the hip joint. J Bone Joint Surg Am 1917;s2-15(8):59222. Slobogean GP,...
  • Molnar RB, Routt ML. Open reduction of intracapsular hip fractures using a modified Smith-Petersen surgical exposure. J Orthop Trauma 2007;21(7):490-4....
  • Lichstein P, Kleimeyer J, Githens M, Vorhies J, Gardner M, Bellino M, et al. Does the Watson-Jones or modified Smith-Petersen approach provide...
  • Giannoudis P, Panteli M. Biomechanical rationale for implant choices in femoral neck fracture fixation in the nonelderly. Injury 2015;46(3):445-52....
  • Bhandari M, Tornetta P 3rd, Hanson B, Swiontkowski M. Optimal internal fixation for femoral neck fractures: multiple screws or sliding hip...
  • Wu-ren Hou, Min-ou Xu. [Comparison among three cannulated screws and dynamic hip screw combined with antirotation screw for comminuted fractures...
  • Cha Y, Yoo J, Wang S, Kim K, Choy W, Hwang S. Biomechanical evaluation of internal fixation of Pauwels type III femoral neck fractures: A...
  • Fixation using Alternative Implants for the Treatment of Hip fractures (FAITH) Investigators. Fracture fixation in the operative management...
  • Ma J, Kuang M, Xing F, Zhao Y, Chen H, Zhang L. Sliding hip screw versus cannulated cancellous screws for fixation of femoral neck fracture...
  • Kloen P, Rubel I, Lyden J, Helfet D. Subtrochanteric fracture after cannulated screw fixation of femoral neck fractures: A report of four...
  • Sensoz E, Mehmet F, Acar V. Finite element analysis of the impact of screw insertion distal to the trochanter minor on the risk of iatrogenic...
  • Swiontkowski MF, Harrington RM, Keller TS. Torsion and bending analysis of internal fixation techniques for femoral neck fracture: the roll...
  • Maurer S, Wright K, Koval K, Zuckerman F. Two or three screws for fixation of femoral neck fractures? Am J Orthop (Belle Mead NJ) 2003;32(9):438-42....
  • Krastman P, van den Bent RP, Krijnen P, Schipper IB. Two cannulated hip screws for femoral neck fractures: treatment of choice or asking for...
  • Zlowodzki M, Weening B, Petrisor B, Bhandari M. The value of washers in cannulated screw fixation of femoral neck fractures. Trauma 2005;59(4):969-75....
  • Zlowodzki M, Wijdicks C, Armitage B, Cole A. Value of washers in internal fixation of femoral neck fractures with cancellous screws: a biomechanical...
  • Selvan VT, Oakley J, Rangan A, Al-Lami MK. Optimum configuration of cannulated hip screw for the fixation of intracapsular hip fracture: a...
  • Guo I, Dong W, Qin S, Zhang Y. Definition of ideal configuration for femoral neck screw fixation in older people. Sci Rep 2019;9:12895. https://doi.org/10.1038/s41598-019-48258-2
  • Gümüştaş SA, Tosun HB, Ağır İ, Orak MM, Onay T, Okçu G. Influence of number and orientation of screws on stability in the internal fixation...
  • Collinge C, Mir H. Application of a medial buttress plate may prevent many treatment failures seen after fixation of vertical femoral neck...
  • Ye Y, Chen K, Tian K, Li W, Mauffrey C, Hak DJ. Medial buttress plate augmentation of cannulated screw fixation in vertical unstable femoral...
  • Hoffman J, Kellam J, Routt C, Gary J. Is the cranial and posterior screw of the “inverted triangle” configuration for femoral neck fractures...
  • Gurusamy K, Parker MJ, Rowlands TK. The complication of displaced intracapsular fractures of the hip. The effect of screw positioning and...
  • Ly TV, Swiontkowski MF. Treatment of femoral neck fractures in young adults. Instr Course Lect 2009;58:69-81. PMID: 19385521
  • Triplet JJ, Sullivan B, Taylor BC. The influence of capsulotomy for intracapsular hip fractures. J Long Term Eff Med Implants 2018;28(3):187-92....