Review Article
Osteoporotic Hip Fractures: The Burden of Fixation Failure
Table 2
Incidence of fixation failure and reoperation in displaced fractures of the femoral neck (Garden III and IV). All patients >60 years.
| Study | Year | Fixation method | Mean age | Followup (months) | | Fixation failure (%) | Revision surgery (%) |
|
Parker et al. [37] | 2010 | CS | 82.2 | 180 | 226 | 95 (42) | 114 (50.4) |
Leonardsson et al. [38] | 2010 | CS, HP | 81.5 | 124 | 217 | 94 (43.3) | 125 (57.6) |
Frihagen et al. [14] | 2007 | CS | 83.2 | 24 | 111 | 46 (41.4) | 47 (42.3) |
Johansson et al. [39] | 2006 | CS | 84 | 24 | 78 | 37 (47.4) | 34 (43.6) |
Blomfeldt et al. [19] | 2005 | CS | 81.4 | 48 | 53 | 22 (41.5) | 25 (47.2) |
Blomfeldt et al. [40] | 2005 | CS | 84 | 24 | 30 | 9 (30) | 10 (33.3) |
Rödén et al. [41] | 2003 | von Bahr screws | 81 | 60 | 53 | 34 (64.2) | 31 (58.5) |
Davison et al. [42] | 2001 | SHS | 73 | 60 | 93 | 30 (32.3) | 28 (30.1) |
Neander et al. [43] | 1997 | CS | 86 | 18 | 10 | 1 (10) | 1 (10) |
Jónsson et al. [44] | 1996 | HP | 79 | 24 | 24 | 9 (37.5) | 7 (29.2) |
van Vugt et al. [45] | 1993 | SHS | 75.3 | 36 | 21 | 6 (28.6) | 6 (28.6) |
Soreide et al. [46] | 1979 | von Bahr screws | 78 | 12 | 51 | 13 (25.5) | 11 (21.6) |
| Total/average | | | | | 967 | 396 (41) | 439 (45.4) |
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Nr: not recorded; CS: cannulated screws; HP: hook pin; SHS: sliding hip screw.
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