Author:
He Changjun,Lu Yao,Wang Qian,Ren Cheng,Li Ming,Yang Mingyi,Xu Yibo,Li Zhong,Zhang Kun,Ma Teng
Abstract
Abstract
Background
To compare the clinical efficacy of a femoral neck system (FNS) and cannulated screws (CS) in the treatment of femoral neck fracture in young adults.
Methods
Data from 69 young adults, who were admitted for femoral neck fracture between March 2018 and June 2020, were retrospectively analyzed. Patients were divided into two groups according to surgical method: FNS and CS. The number of intraoperative fluoroscopies, operative duration, length of hospital stay, fracture healing time, Harris score of hip function, excellent and good rate of hip function, and postoperative complications (infection, cut out the internal fixation, nail withdrawal, and femoral neck shortening) were compared between the two groups. Hip joint function was evaluated using the Harris Hip Scoring system.
Results
All 69 patients had satisfactory reduction and were followed up for 12–24 months, with a mean follow-up of 16.91 ± 3.01 months. Mean time to fracture healing was13.82 ± 1.59 and 14.03 ± 1.78 weeks in the FNS and CS groups, respectively. There was a statistical difference in the number of intraoperative fluoroscopies between the 2 groups (P = 0.000). There were no significant differences, in operation duration, hospital length of stay, fracture healing time, complications, Harris Hip Score for hip function and excellent and good rate between the two groups (P > 0.05). The incidence of complications was 6.1%(2/33) in the FNS group lower than 25%(9/36) in the CS group, a difference that was statistically significant (P = 0.032). At the last follow-up, the Harris Hip Score of the hip joint in the FNS group was 90.42 ± 4.82and 88.44 ± 5.91 in the CS group.
Conclusions
Both treatment methods resulted in higher rates of fracture healing and excellent hip function. Compared with CS, the FNS reduced the number of intraoperative fluoroscopies, radiation exposure to medical staff and patients, and short-term complications including femoral neck shortening and bone nonunion.
Publisher
Springer Science and Business Media LLC
Subject
Orthopedics and Sports Medicine,Rheumatology
Reference26 articles.
1. Anagnostis P, Paschou SA, Goulis DG. Management of Acute hip Fracture. N Engl J Med. 2018;378(10):971–2.
2. Orthopedics group of orthopedics trauma branch of Chinese Medical Association, trauma Expert Working Committee of orthopedics branch of Chinese Medical Association. Guidelines for diagnosis and treatment of adult femoral neck fracture. Chin J Orthop Trauma. 2018;20(11):921–8.
3. Robinson CM, Court-Brown CM, McQueen MM, Christie J. Hip fractures in adults younger than 50 years of age. Epidemiol Results Clin Orthop Relat Res. 1995;312:238–46.
4. Hoshino CM, O'Toole RV. Fixed angle devices versus multiple cancellous screws: what does the evidence tell us? Injury. 2015;46(3):474–7.
5. Putnam SM, Collinge CA, Gardner MJ, Ricci WM, McAndrew CM. Vascular anatomy of the medial femoral neck and implications for surface plate fixation. J Orthop Trauma. 2019;33(3):111–5.
Cited by
31 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献