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Basicervical fracture--a rare type of hip fracture
I Saarenpää1, J Partanen, P Jalovaara
1Department of Orthopaedic Surgery, Oulu University Hospital, Kajaanintie 52 A, 90220, Finland. ismo.saarenpaa@ppshp.fi
Archives of Orthopaedic and Trauma Surgery
|March 7, 2002
Summary
Basicervical hip fractures are rare (1.8%) and often misclassified. Treating them as extracapsular fractures, like trochanteric fractures, yields better outcomes.
Area of Science:
- Orthopaedic Surgery
- Trauma Care
- Hip Fractures
Background:
- Basicervical hip fractures lack a clear definition and are inconsistently classified.
- These fractures present diagnostic challenges, often being mistaken for transcervical or trochanteric fractures.
Purpose of the Study:
- To determine the incidence of basicervical hip fractures.
- To compare treatment methods and outcomes for basicervical hip fractures.
Main Methods:
- Prospective study of 1624 consecutive hip fractures.
- Standardized data collection and fracture classification.
- Analysis of treatment strategies (extracapsular vs. intracapsular) and patient outcomes.
Main Results:
- Basicervical hip fractures occurred at a rate of 1.8% (30 out of 1624).
- Initial classification required revision, with many cases reclassified as transcervical or trochanteric.
- Extracapsular treatment (dynamic hip screw or gamma nail) showed superior outcomes compared to intracapsular treatment (hemiarthroplasty or screw osteosynthesis).
Conclusions:
- Basicervical hip fractures are an uncommon but distinct entity.
- Optimal management involves treating basicervical fractures as extracapsular (trochanteric) fractures.