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Revista Brasileira de Ortopedia

versão impressa ISSN 0102-3616

Resumo

BASILE, Ricardo; PEPICELLI, Gustavo Roberto  e  TAKATA, Edmilson Takehiro. Osteosynthesis of femoral neck fractures: two or three screws?. Rev. bras. ortop. [online]. 2012, vol.47, n.2, pp.165-168. ISSN 0102-3616.  http://dx.doi.org/10.1590/S0102-36162012000200004.

OBJECTIVES: To evaluate the efficacy of osteosynthesis on femoral neck fractures using two instead of three screws. METHODS: Thirtynine fractures were retrospectively evaluated, divided into groups in which two screws were used in parallel (n = 28) or three screws (n =11) in an inverted triangle configuration (in accordance with the AO technique). The patients were then followed up until reaching the outcome of either consolidation or failure. RESULTS: In the group in which two screws were used, consolidation was observed in 23 of the 28 fractures (82%). In the group in which three screws were used, consolidation was observed in 6 of the 11 fractures (55%). There was no statistically significant difference between these percentages. CONCLUSION: There was no difference in the prognosis for these fractures when treated using two screws in parallel or three screws in an inverted triangle in accordance with the AO technique. Further studies are needed in order to establish a definitive conclusion.

Palavras-chave : Femoral Neck Fracures; Fracture Fixation, Internal; Bone Screws; Longitudinal Studies.

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