Hip arthroscope-assisted percutaneous reduction and fixation of displaced subcapital femoral neck fracture.

IF 1.6 4区医学 Q2 SURGERY

Frontiers in Surgery Pub Date : 2025-04-01 eCollection Date: 2025-01-01 DOI:10.3389/fsurg.2025.1555752

Dajiang Du, Che Zheng, Mengxin Xue, Jiewei Chen, Yiyang Ma, Yun Gao, Changqing Zhang

引用次数: 0

Abstract

Reduction quality is associated with fracture prognosis. Displaced subcapital femoral neck fracture has highest possibility of avascular necrosis of femoral head and non-union among the femoral neck fractures, which commonly necessitate revisions or hip replacement. This study introduces for the first time of using hip arthroscope to directly visualize and assist the reduction of displaced subcapital femoral neck fracture when closed reduction is unsatisfactory. Due to the minimally invasive advantage of arthroscopic assistance, radiation exposure or intraoperative bleeding can be reduced, open reduction is avoided so that the blood supply of femoral head can be preserved. Through direct visualization, the complete removal of hematoma and fracture debris can be achieved, which is not possible with closed reduction, and can potentially reduce the risk of non-union during bone healing.

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髋关节镜辅助下经皮复位固定移位性股骨颈下骨折。

复位质量与骨折预后相关。移位性股骨颈下骨折在股骨颈骨折中发生股骨头缺血性坏死和骨不愈合的可能性最高，通常需要进行翻修或髋关节置换术。本研究首次介绍了当闭式复位效果不理想时，利用髋关节镜直接观察并辅助复位移位的股骨颈下骨折。由于关节镜辅助的微创优势，可减少放射线暴露或术中出血，避免切开复位，保留股骨头的血液供应。通过直接观察，可以完全清除血肿和骨折碎片，这是闭式复位无法做到的，并且可以潜在地降低骨愈合过程中不愈合的风险。

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

Frontiers in Surgery Medicine-Surgery

CiteScore

1.90

自引率

11.10%

发文量

1872

审稿时长

12 weeks

期刊介绍： Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.