[HTML][HTML] Comparative study of the neck shaft angle in femoral neck and intertrochanteric fractures in north part of Iran

SMZ Ziabari, SS Joni, M Faghani… - International Journal of …, 2020 - ncbi.nlm.nih.gov
SMZ Ziabari, SS Joni, M Faghani, AP Moghaddam
International Journal of Burns and Trauma, 2020ncbi.nlm.nih.gov
Background: A femur fracture is accounted for as one of the most common fractures in the
population. The femoral neck has had an angle with the longitudinal axis of the bone shaft,
which is defined as neck-shaft angle (NSA). Regional epidemiologic information about NSA
might be useful for orthopedic surgeons. In the present study, we aimed conduct a
comparative study of NSA in patients with femoral neck or intertrochanteric fractures in
Rasht, Iran. Methods: The study population consisted of all patients with hip fractures …
Background
A femur fracture is accounted for as one of the most common fractures in the population. The femoral neck has had an angle with the longitudinal axis of the bone shaft, which is defined as neck-shaft angle (NSA). Regional epidemiologic information about NSA might be useful for orthopedic surgeons. In the present study, we aimed conduct a comparative study of NSA in patients with femoral neck or intertrochanteric fractures in Rasht, Iran.
Methods
The study population consisted of all patients with hip fractures. Patients with femoral fractures (neck and intertrochanteric) were examined by an emergency medicine specialist at the time of admission. An Anterior-Posterior X-ray image was taken at the time of admission. Patients NSA was measured by expert orthopedic surgeons and was compared between patients.
Results
In the present study, we evaluated the data of 80 patients with femoral fractures and 40 healthy individuals as control group. Patients were divided into two groups of femoral neck fractures (40 patients) and intertrochanteric fractures (40 patients). Analysis of the NSA showed no significant differences between the NSA of patients with neck and intertrochanteric fractures and also control group (P> 0.05). Our data showed that the mean NSA in patients with femoral neck fractures were 131.04±3.7 degrees while the NSA of patients with intertrochanteric fractures were 132.07±4.1. The NSA of controls were also 132.8±6.9. We also found no significant differences between the NSA of different age groups or between male and female patients.
Conclusion
The results of this study showed that no significant differences could be indicated between NSA of healthy subjects and patients with femoral fractures. We believe that paradoxical results of former reports could be due to population and regional factors.
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