EVALUATION OF RESULITS OF OPERATIVE TREARMENT OF FRACTURE NECK FEMUR IN YOUNG ADULTS

Abstract

The material of this work consisted of 40 patients who attended the final follow up. They were examined clinically and radiologically and subsequently treated by closed reduction and internal fixation. Four cases-in which closed reduction could not be achieved were treated by open reduction through lateral approach to the hip joint and then fixed internally by the same means. The age incidence in this study varied between 17 and 65 years with an average of 41 years. Male were affected in 65% of the cases and females in 35%. The left side was affected in 62.5% of the cases while the right side was affected only in 37.5%. Traffic accidnets caused the highest percentage of this fractures 52.5% followedbyfallingfrom a height (22.5%). A higher incidence of affection was found among workers 52.5% followed by housewives (25%) and students (23.5%). Partial displacement ofthe fracture (Type Ill according to Garden's classification) was found in 52.5 % of cases while full displacement (fracture Type IV) was present in 47.5%. u Associated skeletal injuries were found in 37.5% of the cases. 40 % of the patients could be operated upon during the first week after

trauma, 25% during the second week and the remaining 35% during the third andfourth weeks