However, even the same implant was used, different studies may reach different conclusions, which makes it difficult ascertain the choice of treatment option for these fractures. To determine the best treatment strategy for basicervical fracture, we need to investigate the treatment methods and results of previous studies. 8) treated 32 patients with basicervical fractures using cephalomedullary hip nails, and there were no cut outs and clinical results were satisfactory. In addition, their study did not support a suggestion that PFNs have biomechanical advantages over dynamic hip screws (DHSs). They reported that basicervical fractures healed without complications only in 5 among 11 patients, whereas 6 patients had fixation failure. 7) have suggested that PFNs are unsuitable for treatment of basicervical femoral neck fractures. Various types of nail devices have been developed and used. Recently, proximal femoral nails (PFNs) became widely used for treating intertrochanteric fractures 5, 6). Thus, the basicervical femoral neck fractures are more instable than intertrochanteric fractures 3). However, due to the anatomical location of the fracture line, the proximal fragment in basicervical fractures has no muscular insertion, and unlike trochanteric fractures, these fractures lack cancellous interdigitation 4). Previous studies have recommended that the choice of implant to treat this fracture should be similar to that of intertrochanteric femoral fracture 3). The line of a basicervical fracture goes through the base of the femoral neck at its junction with the intertrochanteric region 2). Further research is needed that would be restricted to those fractures that conform to the definition of basicervical fracture.īasicervical femoral neck fractures are rare and account for just 1.8% of all proximal femoral fractures 1). Definitions and treatment methods for basicervical fractures varied, and treatment outcomes also differed among the enrolled studies. Differences were found in the definition of basicervical fracture, treatment results, rehabilitation protocol, and fixation failure rate. A total of 15 studies were included in this study. PubMed Central, OVID MEDLINE, Cochrane Collaboration Library, Web of Science, EMBASE, and AHRQ databases were searched to identify relevant studies published up to March, 2020 with English language restriction. Study selection was based on the following inclusion criteria: (1) treatment outcome for basicervical femoral neck fracture was reported and (2) dynamic hip screw, proximal femoral nail, or multiple screw fixation was used as treatment. Therefore, the purpose of this study was to review the studies that performed surgical treatment of basicervical femoral fractures and to assess the definition of basicervical fracture, the use of implants, and failure rates and clinical results. ![]() However, in previous studies on basicervical fractures, the definition and treatment results of these fractures were different, and there were also debates on the implant that had to be used. Previous studies have recommended that the choice of implant to treat this fracture should be similar to that of intertrochanteric fracture. Basicervical femoral neck fracture is an uncommon fracture that accounts for only 1.8% of all proximal femoral fractures.
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