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Comparative Study for Osteosynthesis of Femoral Neck Fractures: Cannulated Screws versus Femoral Neck System

Youngho Cho|Jaeuk Shin|Sangwoo Kim
대한고관절학회 (The Korean Hip Society)|2023.03|Hip and Pelvis|제35권 제1호|pp. 47-53|DOI https://doi.org/10.5371/hp.2023.35.1.47

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키워드

FemurCannulated screwNeck fractureFemoral neck system

초록

Purpose: The purpose of this study is to compare the radiological results of fixation using the femoral neck system (FNS) and cannulated screw (CS) for treatment of femoral neck fractures. Materials and Methods: A retrospective study of patients with femoral neck fractures who underwent internal fixation and had follow-up of more than six months from 2010 to 2020 was conducted. A total of 87 patients were enrolled in the study. The FNS group included 20 patients and the CS group included 67 patients. Classification of fractures was performed according to Garden and Pauwels classification. Operation time, intraoperative blood loss, sliding distance of the implant, lateral soft tissue irritation caused by implants, and complications were evaluated. Results: The mean operation time was 40.30 minutes in the FNS group and 46.84 minutes in the CS group. The mean intraoperative bleeding volume was 51.25 mL in the FNS group and 72.16 mL in the CS group. Bone union was achieved in 18 patients in the FNS group (90.0%) and in 61 patients in the CS group (91.0%). The mean sliding distance of the implant was 4.06 mm in the FNS group and 3.92 mm in the CS group. No patients in the FNS group and 12 patients in the CS group complained of soft tissue irritation. Conclusion: A shorter operative time, less intraoperative bleeding, and less irritation of soft tissue were observed in the FNS group. FNS could be an alternative to CS for fixation of femoral neck fractures.

Abstract

Purpose: The purpose of this study is to compare the radiological results of fixation using the femoral neck system (FNS) and cannulated screw (CS) for treatment of femoral neck fractures. Materials and Methods: A retrospective study of patients with femoral neck fractures who underwent internal fixation and had follow-up of more than six months from 2010 to 2020 was conducted. A total of 87 patients were enrolled in the study. The FNS group included 20 patients and the CS group included 67 patients. Classification of fractures was performed according to Garden and Pauwels classification. Operation time, intraoperative blood loss, sliding distance of the implant, lateral soft tissue irritation caused by implants, and complications were evaluated. Results: The mean operation time was 40.30 minutes in the FNS group and 46.84 minutes in the CS group. The mean intraoperative bleeding volume was 51.25 mL in the FNS group and 72.16 mL in the CS group. Bone union was achieved in 18 patients in the FNS group (90.0%) and in 61 patients in the CS group (91.0%). The mean sliding distance of the implant was 4.06 mm in the FNS group and 3.92 mm in the CS group. No patients in the FNS group and 12 patients in the CS group complained of soft tissue irritation. Conclusion: A shorter operative time, less intraoperative bleeding, and less irritation of soft tissue were observed in the FNS group. FNS could be an alternative to CS for fixation of femoral neck fractures.

참고문헌 (30)

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관련 논문AI추천

Difference of Neck Shortening in Femoral Neck Fracture between Femoral Neck System and Multiple Cannulated Cancellous Screws: Single Center, Prospective Randomized Controlled TrialAbhay Elhence, Prabodh Kantiwal, Pushpinder Khera, Rajesh Kumar Rajnish, Rajesh Malhotra, Sandeep Yadav, Saurabh Gupta, Sumit Banerjee대한고관절학회 · Hip and Pelvis2024 · 제36권 제4호Clinical Outcomes of the Cephalomedullary Nail with Supplementary Screws versus Multiple Cannulated Screws for Femoral Neck Fracture in Young and Active Patients이효영, Kwon Youg-Uk, Lee Won-Hee대한고관절학회 · Hip and Pelvis2025 · 제37권 제4호The Correlation between the Fracture Types and the Complications after Internal Fixation of the Femoral Neck Fractures이상홍, 이현준, 조승환대한고관절학회 · Hip and Pelvis2016 · 제28권 제1호Result of Internal Fixation for Stable Femoral Neck Fractures in Elderly Patients민병우, 배기철, 이경재, 이석중, 이시욱, 최정훈대한고관절학회 · Hip and Pelvis2016 · 제28권 제1호Cephalomedullary Nailing versus Dynamic Hip Screw Fixation in Basicervical Femoral Neck Fracture: A Systematic Review and Meta-Analysis김용찬, 김철호, 송형근, 윤용철연세대학교의과대학 · Yonsei Medical Journal2022 · 제63권 제8호Trochanteric Fixation Nail􀋓 with Helical Blade Compared with Femoral Neck Screw for Operative Treatment of Intertrochanteric Femoral FracturesB.J. Punt, J.P.H. van Leur, S.P Willemsen, T.S.C. Jakma대한고관절학회 · Hip and Pelvis2019 · 제31권 제1호

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