الفهرس 
Title : Factors leading to failure of fixation of fracture neck femur in young adults
contentsOnly 14 pages are availabe for public view
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Abstract
Background: Fracture neck of femur, especially in the young active adults, is a challenging problem for the orthopedic surgeon. The challenge stems from the high incidence of nonunion and AVN encountered after internal fixation. Aim: To detect factors leading to failure of fixation of neck of femur in young adults. Materials and methods: A study was conducted involving 17 patients. Patients are assessed regarding demographics, co-morbidities, timing of surgery, initial fracture displacement, method of reduction, method of fixation, bone density, level of surgeon experience. Results: The mean age was 40 ± 10 years. The mean follow up period was 6 months. Displaced fractures, poor implant configuration and accuracy of reduction were the main factors associated with failures. Junior surgeons and low bone mineral density are also potential factors to failure. Delayed fixation doesn{u2019}t show to be a significant cause of failure. Conclusion: Initial fracture displacement and accuracy of reduction are potential factors for fixation failures of fracture neck of femur .DHS possess lower early failure rates than MCS although they did not reach statistical significance. Fracture neck of femur in young adults should be operated on by senior trainees under supervision .We recommend operating when optimum condition are provided rather than emergent surgery Further studies with larger number of patients and long term follow ups are recommended