A Review Of Management Of Femoral Neck Fractures In Kenyatta National Hospital
Abstract
This was a 6-month cross-sectional prospective study carried out in Kenyatta
National Hospital between January 2006 and June 2006. The aim of the study was to
determine the age and sex distribution, mechanisms of injury and methods of
management of femoral neck fractures seen in Kenyatta National Hospital over this
period of time. The authority of the ethical committee was sought and received.
Under the guidance of the supervisor suitable patients were selected according to the
set out criteria from the orthopaedic wards. The data was collected from them by the
principal investigator with the help of colleagues in the orthopaedic wards.
A total of 67 patients were included in the study during the study period. The age
range was between 18 and 85 years(mean 53) for the males and 50 to 95 years(mean
67.8) for the females. Forty-eight (71.6%) were
males and 19(28.4%) females. Out of the males 31 patients had severe trauma, 16
minor trauma(spontaneous fractures) and 1 pathological fracture, the females 15 had
minor trauma, one major trauma and 3 pathological fractures. Thirty-six(53.7%) were
managed conservatively(traction) and 32(46.2%) operatively(open reduction and internal
fixation). Out of the ones managed operatively 10(32.3%) had multiple screws,
11(35.5%) dynamic hip screw, 3(9.7%) angle plate, 7(9.7%) arthroplasties.
Most of the male patients were in the age group 18-50 years and the injuries were
due to severe trauma(road traffic accidents) while majority of females were >60 years
with mainly spontaneous fractures. There were more males than females and
majority(>50%) of the patients were managed conservatively.
Citation
Dan F. O. Ochiel (2007). A Review Of Management Of Femoral Neck Fractures In Kenyatta National Hospital. Master Of Medicine In SurgeryPublisher
University of Nairobi