Document Detail

Thompson prosthesis for fractured neck of femur. A comparison of surgical approaches.
MedLine Citation:
PMID:  1194309     Owner:  NLM     Status:  MEDLINE    
The records of 243 patients with Thompson prostheses for displaced femoral neck fractures have been studied. One hundred and seven prostheses were inserted through an anterior approach and 136 by a posterior approach. The short-term results and complications in these otherwise comparable groups are discussed. The infection rate of 18.5 percent in the group operated upon by the posterior approach was thrice that after operations by the anterior route (6.5 per cent infected). Drained wounds had significantly less infection (6.3 per cent) compared with the undrained group (28 per cent infected). Other factors influencing the infection rate are discussed. The anterior approach offered greater stability. Of the twenty dislocations in the series, nineteen followed operations by the posterior approach. The mortality rate six weeks after operation was 6.5 per cent after the anterior approach and 20.6 per cent after the posterior approach. Statistical analysis significantly favours the anterior approach.
R N Chan; J Hoskinson
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  57     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  1975 Nov 
Date Detail:
Created Date:  1976-02-27     Completed Date:  1976-02-27     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  437-43     Citation Subset:  AIM; IM    
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MeSH Terms
Bacterial Infections / etiology
Dislocations / etiology,  prevention & control
Femoral Neck Fractures / mortality,  surgery*
Hemorrhage / etiology
Hip Joint / surgery*
Joint Prosthesis / methods*
Postoperative Complications / epidemiology
Surgical Wound Infection / etiology,  mortality

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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