Journal of Bone and Joint Surgery - British Volume · 1986 · 68 citations · 0 references
MedicineOrthopaedic SurgeryOrthopedic SurgeryBone GraftingMusculoskeletal InfectionOrthopedicsExternal Skeletal FixationFracture FixationFracture ManagementFracture StabilizationFracture-related InfectionInternal FixationAvascular Necrosis Of BoneClosed Fracture ReductionCompression Plate FixationFemur FracturesFracturesProspective Case StudySurgical Fixation Of FracturesSurgical Fracture Management
We report a prospective study of 198 cases of subcapital fracture of the femur treated by closed reduction and fixation with a sliding compression screw-plate. This was done without regard to the patient's age or the Garden stage of the fracture. Early weight-bearing was encouraged. Of the displaced fractures 23% failed in the first year because of non-union or infection. Of the fractures which united 27% had developed avascular necrosis after three years. Despite this we believe that the sliding compression screw-plate, of proven value in the treatment of intertrochanteric fractures, is also useful for the fixation of subcapital fractures.