Technology of percutaneous cannulated screw implantation using screw view model of navigation in Garden type I of femoral neck fracture
| Autor: | Xin Zhao, Dong-Sheng Wang, Baoming Yuan, Mingyang Kang, Yi-Kun Jiang, Rongpeng Dong, Jian-Wu Zhao, Xi-Wen Zhang, Tong Yu |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
musculoskeletal diseases
Adult Male medicine.medical_specialty Percutaneous Bone Screws 03 medical and health sciences Fracture Fixation Internal 0302 clinical medicine medicine Cannula Humans 030212 general & internal medicine Clinical Case Report navigation Neuronavigation Femoral neck Fracture Healing femoral neck fracture business.industry Femur Neck cannulated screw General Medicine Surgery Femoral Neck Fractures medicine.anatomical_structure Treatment Outcome percutaneous Male patient 030220 oncology & carcinogenesis Fracture (geology) Cannulated screw business Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 0025-7974 |
| Popis: | Rationale: The aim of the present study was to assess the efficacy and safety of percutaneous cannulated screw (PCS) implantation assisted by screw view model of navigation (SVMN) to treat femoral neck fracture (FNF). Patient concerns: A 42-year-old male patient suffered from a high falling injury, causing pain, swelling, deformity, and limited mobility on his right hip. Diagnoses: He was diagnosed with Garden type I of FNF. Interventions: PCS implantation assisted by SVMN was used to treat fracture of femoral neck in this patient. Outcomes: The follow up lasted for 48 months. A total of 3 screws were inserted into femoral neck, all exhibiting excellent position. The mean screw deviation was 0.43° and 5.73° of femoral neck-shaft and anteversion angle, respectively. The guide wire drilling attempt of each screw was one-time. The fluoroscopic time lasted 6.3 minutes, the Harris hip scores improved from 67 to 88, and the blood loss was 35 mL. It took 11.7 minutes for designing the screws, 13.9 minutes for implanting the guide wires, and 37.3 minutes for placing the screws. No clinical complications were found during 48-month follow-up visit, including head penetration, implant failure, fracture nonunion, and femoral head osteonecrosis. Lessons: The study revealed that SVMN is conducive to the PCS insertion for FNF. Our lesson is that the FNF must be well reduction before SVMN assisted PCS placement. |
| Databáze: | OpenAIRE |
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