Compression screw fixation for displaced subcapital fracture of the femur. Success or failure?

J Bone Joint Surg Br. 1986 Jan;68(1):78-82. doi: 10.1302/0301-620X.68B1.3941145.

Abstract

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.

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Bone Plates*
  • Bone Screws*
  • Evaluation Studies as Topic
  • Female
  • Femoral Neck Fractures / diagnostic imaging
  • Femoral Neck Fractures / surgery*
  • Humans
  • Male
  • Middle Aged
  • Postoperative Complications / etiology
  • Prospective Studies
  • Radiography