+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Analysis on Harris scores at follow-up after internal fixation of femoral neck fracture



Analysis on Harris scores at follow-up after internal fixation of femoral neck fracture



Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 23(4): 435-439



To investigate the specific variables and influence factors of Harris scores in follow-up data of patients with internal fixation of femoral neck fracture. From May 1999 to May 2004, 99 cases of femoral neck fracture receiving close reduction with cannulated screw and having complete follow-up data were evaluated in terms of age, sex, type of bone fracture (Garden classification), reduction time, reduction quality (Garden indicators), time of full weight-loading, removal of internal fixation, traction before operation, side of bone fracture, necrosis of femoral head, duration of follow-up and Harris score during follow-up period. Univariate and multivariate were analyzed by SPSS14.0 and SAS8.2. P-P probability plot and normal test revealed the Harris scores were non-normal distribution (W=0.75709, P=0.0001). By nonparametric test in univariate analysis, the following variables in Harris scores were of statistic significance: the time of reduction (U=-2.289, P=0.022), the Garden classification (H=16.943, P=0.001), the time of full weight-bearing (U=3.069, P=0.002), the quality of reduction (U=-3.448, P=0.001) and the necrosis of femoral head (U=-4.723, P=0.000). By the analysis of correlation, the following variables in Harris scores were of statistic significance: Garden classification (r(s)=-0.412, P=0.000), the time of reduction (r(s)=-0.231, P=0.021), the quality of reduction (r(s)=-0.348, P=0.000), the time of full weight-bearing (r(s)=-0.310, P=0.002), and the necrosis of femoral head (r(s)=-0.477, P=0.000). By the univariate logistic regression analysis, the following variables in Harris scores were of statistic significance: Garden classification (P=0.0001), the time of reduction (P=0.0126), the quality of reduction (P=0.0003), the time of full weight-bearing (P=0.0032), the traction before operation (P=0.0492) and the necrosis of femoral head (P=0.0001). By the multivariate logistic regression analysis, the influence factors of Harris scores rank included the necrosis of femoral head (P=0.0001), the time of reduction (P=0.0282), and Garden classification (P=0.0007). Harris scores is of non-normal distribution, and the necrosis of femoral head is the most important factor influencing the function after applying internal fixation with cannulated screws to femoral neck fracture.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 051533297

Download citation: RISBibTeXText

PMID: 19431982


Related references

Total Hip Arthroplasty for Failed Internal Fixation After Femoral Neck Fracture Versus That for Acute Displaced Femoral Neck Fracture: A Comparative Study. Journal of Arthroplasty 30(8): 1378-1383, 2015

Subchondral insufficiency fracture of the femoral head: a report of two cases with a history of internal fixation of a femoral neck fracture. Skeletal Radiology 42(6): 849-851, 2013

Subchondral insufficiency fracture of the femoral head after internal fixation for femoral neck fracture: histopathological investigation. Skeletal Radiology 43(8): 1151-1153, 2014

Clinical and imaging features of a subchondral insufficiency fracture of the femoral head after internal fixation of a femoral neck fracture: a comparison with those of post-traumatic osteonecrosis of the femoral head. British Journal of Radiology 89(1060): 20150725, 2016

Fracture Type and Injury-to-Surgery Interval as Risk Factors for Avascular Necrosis of the Femoral Head after Internal Fixation of Intracapsular Femoral Neck Fracture. Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca 82(4): 282-287, 2015

Coordination numbers in hydrated Cu(II) ions. Journal of Molecular Modeling 24(7): 187, 2018

Meta-analysis comparing arthroplasty with internal fixation for displaced femoral neck fracture in the elderly. Journal of Surgical Research 165(1): 68-74, 2011

Femoral neck shortening after internal fixation of a femoral neck fracture. Orthopedics 36(7): E849-E858, 2013

Factors predisposing to healing complications after internal fixation of femoral neck fracture. A stepwise logistic regression analysis. Clinical Orthopaedics and Related Research 1990(257): 129-133, 1990

Femoral head vitality in femoral neck fracture after hook-pin internal fixation. Clinical Orthopaedics and Related Research 1984(191): 105-109, 1984

Displaced femoral neck fracture: comparison of primary total hip replacement with secondary replacement after failed internal fixation: a 2-year follow-up of 84 patients. Acta Orthopaedica 77(4): 638-643, 2006

Secondary total hip arthroplasty for osteonecrosis of femoral head after failed internal fixation of femoral neck fracture. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 24(3): 257-261, 2010

Lower reoperation rate for cemented hemiarthroplasty than for uncemented hemiarthroplasty and internal fixation following femoral neck fracture: 12- to 19-year follow-up of patients aged 75 years or more. Acta Orthopaedica 84(3): 254-259, 2013

Femoral neck fracture after healed open reduction internal fixation of an intertrochanteric fracture. Journal of Trauma 68(1): E20-E22, 2010

Finite element analysis of a bone healing model: 1-year follow-up after internal fixation surgery for femoral fracture. Pakistan Journal of Medical Sciences 30(2): 343-347, 2014