Can formation of avascular necrosis really be prevented in Delbet type 2 femoral neck fractures?

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dc.authorid0000-0002-2999-2141en_US
dc.authorid0000-0002-7290-6798en_US
dc.contributor.authorAkar, Mehmet Sait
dc.contributor.authorYiğit, Şeyhmus
dc.date.accessioned2022-12-07T12:12:34Z
dc.date.available2022-12-07T12:12:34Z
dc.date.issued2022en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalıen_US
dc.description.abstractBACKGROUND: Fractures of proximal femur are rarely seen in childhood. These fractures can result in serious complications such as avascular necrosis (AVN), coxa vara, and early closure of the femoral epiphysis. The aim of this study is to investigate retrospectively the Delbet type 2 fractures that are commonly seen and has high rates of AVN. METHODS: Forty-two patients whose Delbet type 2 fractures were treated in our hospital between January 2009 and June 2018 were analyzed. The patients’ mechanism of fracture formation, displacement of the fracture, presence of accompanying injuries, tim- ing of surgery, open or closed reduction, whether the screws cross the epiphyseal growth plate epiphyseal line, and AVN data were analyzed retrospectively. RESULTS: Of the 42 screened patients, 34 patients with complete follow-up graphs and files were included in the study. The mean age of the patients was 11.02 years (1–17 years old), and the mean follow-up time was 40.82 months (range 24 to 98 months). When the follow-up radiographs of the patients were examined, it was found that AVN in 9 patients (26.5%), coxa vara in 2 patients (5.9%), and non-union in 1 patient (2.9%). The AVN rate was significantly higher in patients with high-energy injuries and high fracture dis- placement at baseline (p=0.034 and p=0.047, respectively). CONCLUSION: According to our findings in Delbet type 2 fractures, other than the severity of the trauma and the initial displace- ment of the fracture, factors related to the treatment process do not have a significant effect on the development of AVN. Age was not determined as a risk factor for the development of AVN in these patients.en_US
dc.identifier.citationAkar, M. S. ve Yiğit, Ş. (2022). Can formation of avascular necrosis really be prevented in Delbet type 2 femoral neck fractures?. Ulusal Travma ve Acil Cerrahi Dergisi, 28(1), 107-112.en_US
dc.identifier.doi10.14744/tjtes.2020.33568
dc.identifier.endpage112en_US
dc.identifier.issn1306-696X
dc.identifier.issn1307-7945
dc.identifier.issue1en_US
dc.identifier.pmid34967429
dc.identifier.scopus2-s2.0-85123054573
dc.identifier.scopusqualityQ3
dc.identifier.startpage107en_US
dc.identifier.trdizinid1137459
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1137459
dc.identifier.urihttps://hdl.handle.net/11468/10967
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1137459
dc.identifier.volume28en_US
dc.identifier.wosWOS:000739854500016
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynakTR-Dizin
dc.institutionauthorAkar, Mehmet Sait
dc.institutionauthorYiğit, Şeyhmus
dc.language.isoenen_US
dc.publisherUlusal Travma ve Acil Cerrahi Derneğien_US
dc.relation.ispartofUlusal Travma ve Acil Cerrahi Dergisi
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAvascular necrosisen_US
dc.subjectDelbet classificationen_US
dc.subjectPediatric femur neck fractureen_US
dc.titleCan formation of avascular necrosis really be prevented in Delbet type 2 femoral neck fractures?en_US
dc.titleCan formation of avascular necrosis really be prevented in Delbet type 2 femoral neck fractures?
dc.typeArticleen_US

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