Basit öğe kaydını göster

dc.contributor.authorGümüştaş, Seyit Ali
dc.contributor.authorTosun, Hacı Bayram
dc.contributor.authorİşyar, Mehmet
dc.contributor.authorSerbest, Sancar
dc.contributor.authorÖznam, Kadir
dc.contributor.authorBulut, Güven
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:50:30Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:50:30Z
dc.date.issued2018en_US
dc.identifier.citationGümüştaş, S. A., Tosun, H. B., İşyar, M., Serbest, S., Öznam, K. ve Bulut, G. (2018). Femur neck fracture in young adults, is it really an urgent surgery indication: Retrospective clinical study. Pan African Medical Journal, 30. https://dx.doi.org/10.11604/pamj.2018.30.112.13643en_US
dc.identifier.issn1937-8688
dc.identifier.urihttps://dx.doi.org/10.11604/pamj.2018.30.112.13643
dc.identifier.urihttps://hdl.handle.net/20.500.12511/1999
dc.descriptionWOS: 000437781600002en_US
dc.descriptionPubMed ID: 30364439en_US
dc.description.abstractIntroduction: Femur neck fracture comprises a significant part of intracapsular femur fracture in the intracapsular area of proximal femur and it is mostly seen in elder people. However, these kinds of fractures may be seen in young adults. The present study aims to search factors that affect femoral neck fractures in young adults after surgery carried out by internal determination method. Methods: Files of patients who were applied internal determination through closed reduction and cannulated screw because of intracapsular femur neck fractures between 2010 and 2015 were analyzed retrospectively. Fractures were evaluated by means of Garden classification, which is based on radiological appearance. The cases were examined in terms of timing of surgery in two groups. Cases operated in the first 24 hours after trauma consisted of group 1 and after 24 hours group 2. Radiological staging in femoral head avascular necrosis was evaluated by ficat-Arlet classification system whereas acetabular fractures and hip functionality was evaluated by Letournel and Judet system, which is based on direct graph of fracture line. Results: Mean age at the time of surgery for 31 cases included in the study was 40.04 9.63 year. The average duration from injury to surgery was 6.6 (1-20) days. Thirty nine percent of fractures was nondisplaced whereas 61% was displaced. The average follow-up period was 4.9 1.35 years. The rate of nonunion was found 16% and femoral head avascular necrosis 6.4%. According to Judet System, 67.7% of cases showed excellent/good and 32.3% moderate/bad functional results. Six cases had a secondary surgery. Cases who had displaced fractures statistically showed worse functional results and underwent more secondary surgery than patients with nondisplaced fractures (P>0.05). As a result of logistic regression analysis, presence of displacement was a factor negatively affecting the judet score but did not affect the rate of complication. There were no significant differences between the two groups according to the surgical timing in terms of functional outcomes and complications. Conclusion: Because of surgical treatment of femoral neck fractures in the first 24 hours does not affect functional outcomes and complication rate, surgery is recommended in optimal conditions. In the case of displacement, care must be taken in terms of poor functional results.en_US
dc.language.isoengen_US
dc.publisherAfrican Field Epidemiology Network-Afeneten_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.rightsAttribution 2.0 Generic*
dc.rights.urihttps://creativecommons.org/licenses/by/2.0/*
dc.subjectTiming of Surgeryen_US
dc.subjectFemoral Neck Fracturesen_US
dc.subjectInternal Determinationen_US
dc.subjectComplicationen_US
dc.titleFemur neck fracture in young adults, is it really an urgent surgery indication: Retrospective clinical studyen_US
dc.typearticleen_US
dc.relation.ispartofPan African Medical Journalen_US
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalıen_US
dc.identifier.volume30en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.identifier.doi10.11604/pamj.2018.30.112.13643en_US
dc.identifier.scopusqualityQ3en_US


Bu öğenin dosyaları:

Thumbnail

Bu öğe aşağıdaki koleksiyon(lar)da görünmektedir.

Basit öğe kaydını göster

info:eu-repo/semantics/openAccess
Aksi belirtilmediği sürece bu öğenin lisansı: info:eu-repo/semantics/openAccess