Title: Evaluate the Post-Operative Complication in Treatment of Fracture of the Neck Femur in Young Adult

Authors: Dr Abu Bakar Siddique, Dr Md Mizanur Rahman, Dr Md. Shafiqul Islam, Dr ABM Zakir Uddin, Dr Harun -Are Rashid, Lt. Col. Dr Md. Zamil Zaidur Rahim

 DOI: https://dx.doi.org/10.18535/jmscr/v7i9.133

Abstract

  

Objective: In this study our main aim to evaluate the post-operative complication in treatment of fracture of the neck Femur in young adult.

Methodology: This cross-sectional study was conducted at National institute of traumatology and orthopaedic rehabilitation (NITOR), Dhaka from January 2017 to December 2018. During the study, recent neck femur fracture 12 cases, in between age 20-55 years irrespective of gender were taken as a sample.

Results: In the experiment, the mean age of the total study population was 38 years. Most of the study subjects are due to motor vehicle accident (75 percent), and (25 percent) affected by domestic fall. Also, after follow up outcome regarding common complication like infection, non-union, painful limping, cortical screw cutout (used for fixing Muscle Pedicle Bone Graft) the overall result after treatment.

Conclusion: From our result, we can conclude that the long-term follow up and evolution of the viability of this procedure minimize the postoperative complication of the patients. Further study is needed for additional useful result.

Keywords: Post-operative complication, Displaced fracture, Non-union.

References

  1. Watkins MB, 1964. Posterolateral fusion in pseudoarthrosis and posterior element defects of the lumbosacral spines. Clin Orthop; 35:80.
  2. Woodhouse CF, 1964. Dynamic influences of vascular occlusion affecting the development of avascular necrosis of the femoral head. Clin Orthop; 32:119-29.
  3. Chen ZG, Yu GR, Gu JF, et al, 1997. The bone graft pedicled with vessels for the old femoral neck fracture in the young and prime of life. J Bone Joint Injury; 12:12-1
  4. Chen ZG, Yu GR, Gu JF, et al, 1997. The bone graft pedicled with vessels for the old femoral neck fracture in the young and prime of life. J Bone Joint Injury; 12:12-1
  5. Gumustas S, Tosun HB, Isyar M, Serbest S, Oznam K, Bulut G. Femur neck fracture in young adults, is it really an urgent surgery indication: retrospective clinical study. The Pan African medical journal. 2018;30.
  6. Lifeso R, Young D, 1990. The neglected hip fracture. J Orthop Trauma; 4:287-92 Lagerby M, Aspfund S, Ringqvist I, 1998. Cannulated Serew for fixation of femoral neck fractures: no Difference between Uppsala screws and Richards screws in a randomized, prospective study of 268 cases. Acta OrthopScand; 69:37867-91.
  7. Ragnarsson JI, Ekelund L, Darrholm J, Hietala So, 1989. Low field magnetic resonance imaging of femoral neck fractures. Acta Radiol; 30:247-52.
  8. Dickson J. A1953. The Unsolved Fracture-A Protest Against Defection. J. Bone and Joint Surg; 35:805-822,
  9. Bonfiglio M, Bardenstein MB, 1958. Treatment by bone grafting of aseptic necrosis of the femoral head and non-union of the femoral neck (Phemister technique) J Bone Joint Surg (Am); 40A: 1329-46.
  10. Nagi ON, Dillon MS, Gill SS, 1992. Fibular osteosynthesis fro delayed type 11 and type III femoral neck fractures in children. J Orthop Trauma; 6:306-13.

Corresponding Author

Dr Abu Bakar Siddique