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Journal of Bone and Joint Surgery - British Volume, Vol 68-B, Issue 1, 78-82
Copyright © 1986 by British Editorial Society of Bone and Joint Surgery

Articles

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

PW Skinner and D Powles

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.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General