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Femoral neck fracture rare following arthroscopic femoroplasty
Following arthroscopic femoroplasty, femoral neck fracture was rare, but most commonly occurred in women and in patients older than 50 years, according to study results.
Researchers administered a survey to 28 established hip arthroscopists that collected information on the total number of hip arthroscopies and proximal femoroplasties performed, as well as the number of postoperative femoral neck fractures treated. Researchers also inquired about fracture type, the age and gender of the patient, time to fracture, comorbidities, treatments and outcomes.
Overall, surgeons polled performed 27,200 total arthroscopies and 14,945 proximal femoroplasties, with 11 postoperative proximal femur fractures. When the data were combined for high-volume hip arthroscopists at multiple medical centers, this showed a 0.07% incidence of proximal femur fracture following arthroscopic femoroplasty.
Michael K. Merz
Researchers found the mean time to fracture after arthroscopic femoroplasty was 40.5 days and a 1-to-3 male-to-female ratio among patients with a fracture (mean age 52 years). Violation of weight-bearing precautions were determined to be the reason for more than half of the fractures, according to the study, but all patients experienced improved symptoms following treatment. – by Casey Tingle
Disclosure: Merz reports no relevant financial disclosures.