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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 5, 632-634.
doi: 10.1302/0301-620X.87B5.15237  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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The complications of displaced intracapsular fractures of the hip

THE EFFECT OF SCREW POSITIONING AND ANGULATION ON FRACTURE HEALING

K. Gurusamy, MBBS, MRCS (Ed), Clinical Fellow in General Surgery; M. J. Parker, MD, FRCS(Ed), Orthopaedic Research Fellow; and T. K. Rowlands, MBBCh, MRCS (Eng), Orthopaedic Registrar

QEQM Hospital, Margate, Kent CT9 4AN, UK, Department of Orthopaedics, Peterborough District Hospital, Thorpe Road, Peterborough PE3 6DA, UK.

Correspondence should be sent to Mr M. J. Parker; e-mail: mjparker{at}doctors.org.uk

We have studied the placement of three screws within the femoral head and the degree of angulation of the screws in 395 patients with displaced intracapsular fracture of the hip to see if either was related to the risk of failure of the fracture to unite. No relationship between nonunion of the fracture was found regarding the position of the screws on the anteroposterior radiograph. However, we found that a reduced spread of the screws on the lateral view was associated with an increased risk of nonunion of the fracture.




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eLetters:

Read all eLetters

Is placement of screws the only cause of nonunion in fracture of the femoral neck?
Manoj Todkar
J Bone Joint Surg Br Online, 12 May 2005 [Full text]
Reply to Mr Todkar from the authors
Martyn Parker, et al.
J Bone Joint Surg Br Online, 19 May 2005 [Full text]
Is screw positioning really the most important factor?
Feroz Dinah
J Bone Joint Surg Br Online, 17 Jun 2005 [Full text]
Is screw positioning really the most important factor?
Manasseh Nithyananth
J Bone Joint Surg Br Online, 23 Jun 2005 [Full text]
Reply to Dr Nithyananth from Mr Parker
Parker Martyn
J Bone Joint Surg Br Online, 6 Jul 2005 [Full text]
Reply to Dr Dinah from Mr Parker
Martyn J Parker
J Bone Joint Surg Br Online, 6 Jul 2005 [Full text]

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