Abstract
Introduction
Basicervical fracture of the femur is one type of hip fracture, which is regarded as an extra and intra-capsular fracture. We experienced an atypical type of this fractures, the fracture line exist between subcapital portion at anterior aspect and base of the neck at posterior aspect, running through the neck with a shearing fracture line shown in the coronal plane. We investigate the characteristic and result of this fractures in our cases.
Material & Methods
We treated seven cases, the mean age was 85(57–101) years old, the mean follow-up period was sixteen (3–27)months, and the cause of injury was fall in all cases. We evaluate treatment method, radiographical and clinical outcomes.
Results
Four cases were treated with hemiarthroplasty and three were treated with osteosynthesis. Bone union was obtained within six months. There was no incidence of complications.
Discussion & Conclusion
In the diagnosis of this fracture, we should pay careful attention to radiological assessment. In the treatment of this fracture, the anterior portion of proximal fragment is shorter than posterior portion, we should consider this characteristic of the fracture. We should be aware of cortical defect of the calcar in hemiarthroplasty, and have difficulty of reduction in osteosynthesis.
