Comparison of Early Clinical Results for Femoral Neck System and Cannulated Screws in the Treatment of Unstable Femoral Neck Fractures
| Autor: | Xiangxin Zhang, Xiao-Qiang Zhou, Zhi-Qiang Li, Renjie Xu, Guangxiang Chen, Yuanshi She, Xiao Yu |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Cannulated screw Visual analogue scale medicine.medical_treatment Radiography Bone Screws Femoral neck system Femoral Neck Fractures Fracture Fixation Internal Postoperative Complications medicine Humans Internal fixation Orthopedics and Sports Medicine Patient Reported Outcome Measures Clinical efficacy Pain Measurement Retrospective Studies Femoral neck Orthopedic surgery Clinical Article Femoral neck fracture business.industry Middle Aged Surgery Treatment Outcome medicine.anatomical_structure Clinical Articles Female Complication business Body mass index RD701-811 |
| Zdroj: | Orthopaedic Surgery Orthopaedic Surgery, Vol 13, Iss 6, Pp 1802-1809 (2021) |
| ISSN: | 1757-7861 1757-7853 |
| DOI: | 10.1111/os.13098 |
| Popis: | Objective To compare early clinical effects of the femoral neck system (FNS) and three cannulated screws for the treatment of patients with unstable femoral neck fractures. Methods A retrospective analysis with pair matching of 81 patients who received FNS or cannulated screw internal fixation for Pauwels type‐3 femoral neck fracture in our hospital from January 2019 to December 2019 was conducted. Patients who received FNS were the test group, and those who received cannulated screws comprised the control group. Matching requirements were as follows: same sex, similar age, and similar body mass index (BMI). A total of 30 pairs were successfully matched at a 1:1 ratio, including 12 males and 18 females. The average age of the patients in the FNS group was 54.53 ± 6.71 years. In the cannulated screw group, the average age of the patients was 53.14 ± 7.19 years. The operation time, intraoperative blood loss, hospital stay, hospitalization cost, postoperative visual analog scale (VAS) score, time to walking without crutches, Harris score, femoral head necrosis rate, and complication rate were compared between the groups. Results Postoperative re‐examination of radiographs showed satisfactory reduction in all patients, and all patients were followed up for 10–22 months. Those in the FNS group had lower postoperative VAS scores, earlier times to walking without crutches, higher Harris scores at the last follow‐up, and lower complication rates (P 0.05). Conclusion For patients with unstable femoral neck fractures, FNS has better clinical efficacy than cannulated screws, though it is also more expensive. To compare early clinical effects of the femoral neck system (FNS) and three cannulated screws for the treatment of patients with unstable femoral neck fractures. We designed a retrospective analysis with pair matching. This study found that compared with cannulated screws, FNS is a suitable option for the treatment of Pauwels type‐3 femoral neck fractures. This approach is characterized by its accurate efficacy, simple procedure, reduced trauma, faster recovery, and fewer complications, though it is more expensive. FNS's excellent biomechanical performance and clinical efficacy make it a new choice for the treatment of unstable femoral neck fractures. |
| Databáze: | OpenAIRE |
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