The Journal of Bone and Joint Surgery, Vol 60, Issue 2 269-271, Copyright © 1978 by Journal of Bone and Joint Surgery, Inc
Deyerle treatment for femoral neck fractures
GI Baker and EF Barrick
Thirty-eight displaced intracapsular fractures of the femoral neck treated
by the Deyerle method of internal fixation have been added to the
previously reported series of sixty-three cases from the Walter Reed Army
Medical Center Orthopaedic Service. A significant change in the incidence
of non-union was found. In the over-all series of 101 patients, the
incidence of non-union was 13.8 per cent and the incidence of segmental
collapse due to avascular necrosis was 13.8 per cent. The roentgenographic
and functional over-all end results were rated excellent in 67.7 per cent
and poor in 32.3 per cent of the fractures. Some difficulties arising from
the multiple-pin and plate technique and the associated morbidity are
discussed. We now think that Deyerle method produces no better results than
other methods of internal fixation of displaced intracapsular fractures.