Purpose: The good of this survey was to analyze the epidemiological aspects\nand evaluate anatomical and functional results of the treatment by screwing of\nfemoral neck fracture in adulthood at the Teaching Hospital of an underequipped\ncountry. Material and Methods: This is a retrospective study from\nJanuary 1, 2011 to December 31, 2015, concerning patients hospitalized for\nfractures of femoral neck and having been operated by screwing. The variables\nstudied were epidemiological and therapeutic aspects. Anatomical results\nwere examined on standard x rays of the pelvis in front and the hip in profil,\nbased on the consolidation of the bony axis. Functional results were analyzed\naccording to the quotation of Postel Merle Dâ��Aubign�©. Results: Eleven screwings\nof femoral neck have been done to 11 patients (9 men and 2 women), average\nage was 47 years (29 and 60 years) from January 2011 to December\n2015, at the mean recoil of 19 months (12 and 24 months). Amongst consolidated\npatients (n = 7), one patient presented a necrosis of femoral head at two\nyears hindsight. Four patients presented an aseptic pseudarthrosis of femoral\nneck, or a bad anatomical result. Amidst this group of patients, one underwent\na joint replacement type Moore and suggestion of intermediary prothesis\nwas recommended to three patients. According to the quotation of Postel\nMerle Dâ��Aubign�©, results were very satisfactory to 5 patients, good to 2 patients\nand bad to 4 patients. According to the score of Parker, 7 patients presented\na score of 9 and 4 patients a score of 7. Conclusion: The treatment of\nfemoral neck fractures in adulthood requires a surgical approach by osteosynthesis\nand must be precocious before 24 hours in order to reduce risks of\npseudarthrosis of femoral neck and necrosis of femoral head.
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