Long-term outcomes following closed reduction and internal fixation of femoral neck fractures with cannulated screws in patients under 65 years.

IF 0.3 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Hippokratia Pub Date : 2024-01-01

E Kenanidis, S G Frechat, F P Margariti, K Papavasiliou, I Sarris, E Tsiridis

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引用次数: 0

Abstract

Background: The long-term studies for femoral neck fractures (FNFs) in young patients treated with closed reduction and internal fixation (CRIF) are limited. This study aimed to evaluate the long-term outcomes of a group of young patients (<65 years) with FNFs treated with CRIF at our department during the last decade. We estimated treatment failure rates and identified risk factors for poor outcomes.

Methods: This retrospective cohort study included patients under 65 with a unilateral FNF treated with CRIF using partially threaded cannulated screws (CSs) between 2011 and 2021. During the latest follow-up visit, we recorded the patients' complications, re-admissions, reoperations, functional outcomes, and quality of life scores.

Results: We included 52 patients with a mean age of 53.04 years and a mean follow-up of 5.3 (range: 1.3-11) years. No non-union was recorded. Nine patients (17.3 %) underwent total hip arthroplasty (THA) due to femoral head avascular necrosis (AVN) at an average of 1.68 years following the index operation (THA group). The mean age (p =0.96), trauma type (p =0.290), sex prevalence (p =0.989), Garden classification (p =0.187), CSs number (p =0.751), and comorbidities (p =0.516) were comparable between THA and non-THA groups. Time from trauma to index surgery was significantly shorter for the THA than the non-THA group (p =0.03).

Conclusions: During a mid-to-long follow-up, 17.3 % of patients under 65 years who were treated with CRIF and CSs for FNFs developed AVN. Age, trauma type, comorbidities, time from trauma to treatment, and the number of screws did not affect the outcomes. HIPPOKRATIA 2024, 28 (1):29-34.

本刊更多论文

65 岁以下患者股骨颈骨折闭合复位内固定术后的长期疗效。

背景：对年轻患者股骨颈骨折（FNF）进行闭合复位内固定（CRIF）治疗的长期研究非常有限。本研究旨在评估一组年轻患者的长期疗效：这项回顾性队列研究纳入了 2011 年至 2021 年间使用部分螺纹套管螺钉（CS）进行闭合复位内固定治疗的单侧 FNF 患者，患者年龄均在 65 岁以下。在最近一次随访中，我们记录了患者的并发症、再次入院、再次手术、功能结果和生活质量评分：我们共纳入了 52 名患者，平均年龄为 53.04 岁，平均随访时间为 5.3 年（范围：1.3-11 年）。没有非骨髁愈合的记录。9名患者（17.3%）因股骨头血管性坏死（AVN）而接受了全髋关节置换术（THA），平均手术时间为1.68年（THA组）。THA组和非THA组的平均年龄（p =0.96）、创伤类型（p =0.290）、性别比例（p =0.989）、Garden分类（p =0.187）、CSs数量（p =0.751）和合并症（p =0.516）相当。THA组从创伤到指数手术的时间明显短于非THA组（P =0.03）：结论：在中长期随访期间，65岁以下接受CRIF和CS治疗的FNF患者中有17.3%发生了AVN。年龄、外伤类型、合并症、从外伤到治疗的时间以及螺钉数量对结果没有影响。Hippokratia 2024，28 (1)：29-34。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hippokratia MEDICINE, GENERAL & INTERNAL-

CiteScore

1.10

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Hippokratia journal is a quarterly issued, open access, peer reviewed, general medical journal, published in Thessaloniki, Greece. It is a forum for all medical specialties. The journal is published continuously since 1997, its official language is English and all submitted manuscripts undergo peer review by two independent reviewers, assigned by the Editor (double blinded review process). Hippokratia journal is managed by its Editorial Board and has an International Advisory Committee and over 500 expert Reviewers covering all medical specialties and additionally Technical Reviewers, Statisticians, Image processing Experts and a journal Secretary. The Society “Friends of Hippokratia Journal” has the financial management of both the printed and electronic edition of the journal.