Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Hip
Abstract number: 24235
RESULTS AND FUNCTIONAL OUTCOME OF FEMORAL NECK NON-UNIONS IN
YOUNG ADULTS
Marlon COULIBALY 1 , Clifford JONES 2 , Debra SIETSEMA 2 , James RINGLER 2 ,
Terrence ENDRES 2
1 Orthopaedic Research Fellowship, Grand Rapids Medical Education and Research
Center, Michigan State University; University Hospital Bergmannsheil GmbH,
Bochum (GERMANY), 2 Michigan State University, College of Human Medicine,
Department of Surgery, Grand Rapids (UNITED STATES)
Introduction: Femoral neck non-unions (FNNU) are common complications after
internal fixation of femoral neck fractures in young adults. The purpose of this study
was to evaluate results and long-term functional outcome.Methods: A retrospective
analysis was undertaken on a cohort of 28 patients diagnosed with FNNU between
March 2002 and Dec 2007 at a Level I teaching trauma center. Outcomes were
results (pain, assistive devices, shoe wear, and level of activity) and prospective
assessment of functional status (Short Musculoskeletal Form Assessment [SMFA]
and Short Form 36 [SF-36]). Results: 22 patients met inclusion criteria. 14 males
and 8 females had a mean age of 44.1 (19-65) and BMI of 26.2 (18-41). FNNU
treatment consisted of 10 intertrochanteric osteotomies and 8 arthroplasties. Pain
requiring medication was present in 14 cases. Mobility assistive devices were
utilized in 4, customized shoe wear was needed in 5, and level of activity was
restricted in 8 patients. Functional status was Daily 32.7, Mobility 37.0, Dysfunction
28.8, Bother 26.3, PCS 32.0, and MCS 56.0. FNNU functional status was
significantly reduced compared to normative values (t-test, p