The comparison of femoral neck system and cancellous screws internal fixation for femoral neck fracture.

IF 6.5 3区工程技术 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY

Biotechnology & Genetic Engineering Reviews Pub Date : 2024-11-01 Epub Date: 2023-04-12 DOI:10.1080/02648725.2023.2197335

Tao Jiang, Han Gao, Bin Xu, Fuxin Lv, Tao Liu

{"title":"The comparison of femoral neck system and cancellous screws internal fixation for femoral neck fracture.","authors":"Tao Jiang, Han Gao, Bin Xu, Fuxin Lv, Tao Liu","doi":"10.1080/02648725.2023.2197335","DOIUrl":null,"url":null,"abstract":"Background: The clinical efficacy of cancellous screws (CS) and femoral neck system (FNS) internal fixation in the treatment of femoral neck fracture (FNF) was compared in this research.Methods: Ninety-six patients with FNF were enrolled in this study. There were 47 cases in FNS group and 49 cases in CS group. The data of operation time, intraoperative bleeding, bed days and complication were recorded. Patients' joint function was evaluated by Harris score. At the last follow-up, the cost-effectiveness analysis of the two methods was analyzed according to the total cost of patients and hip function.Results: The intraoperative blood loss of the patients in FNS group was significantly higher than that in the CS group, but the length of hospitalization was significantly lower. There was no significant difference in the incidence of complications between FNS and CS. The joint function of FNS group was significantly better than that of CS group at 3 months after operation. There was no significant difference in Harris score between the two groups at the last follow-up. The overall medical cost of FNS group in 1 year is high. Cost-effectiveness analysis showed that compared with CS group, FNS group needs to pay 5761.1 yuan more for each additional Harris score.Conclusion: FNS and CS internal fixation can achieve satisfactory clinical results in the treatment of FNF. FNS treatment is helpful to the early functional recovery of patients, but the overall medical cost is high.","PeriodicalId":55355,"journal":{"name":"Biotechnology & Genetic Engineering Reviews","volume":" ","pages":"1947-1958"},"PeriodicalIF":6.5000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Biotechnology & Genetic Engineering Reviews","FirstCategoryId":"5","ListUrlMain":"https://doi.org/10.1080/02648725.2023.2197335","RegionNum":3,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/4/12 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"BIOTECHNOLOGY & APPLIED MICROBIOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background: The clinical efficacy of cancellous screws (CS) and femoral neck system (FNS) internal fixation in the treatment of femoral neck fracture (FNF) was compared in this research.

Methods: Ninety-six patients with FNF were enrolled in this study. There were 47 cases in FNS group and 49 cases in CS group. The data of operation time, intraoperative bleeding, bed days and complication were recorded. Patients' joint function was evaluated by Harris score. At the last follow-up, the cost-effectiveness analysis of the two methods was analyzed according to the total cost of patients and hip function.

Results: The intraoperative blood loss of the patients in FNS group was significantly higher than that in the CS group, but the length of hospitalization was significantly lower. There was no significant difference in the incidence of complications between FNS and CS. The joint function of FNS group was significantly better than that of CS group at 3 months after operation. There was no significant difference in Harris score between the two groups at the last follow-up. The overall medical cost of FNS group in 1 year is high. Cost-effectiveness analysis showed that compared with CS group, FNS group needs to pay 5761.1 yuan more for each additional Harris score.

Conclusion: FNS and CS internal fixation can achieve satisfactory clinical results in the treatment of FNF. FNS treatment is helpful to the early functional recovery of patients, but the overall medical cost is high.

查看原文本刊更多论文

股骨颈系统与松质骨螺钉内固定治疗股骨颈骨折的比较。

背景：本研究比较了松质骨螺钉（CS）和股骨颈系统（FNS）内固定治疗股骨颈骨折的临床疗效：本研究比较了松质骨螺钉（CS）和股骨颈系统（FNS）内固定治疗股骨颈骨折（FNF）的临床疗效：本研究共纳入 96 例股骨颈骨折患者。方法：本次研究共纳入 96 例股骨颈骨折患者，其中 FNS 组 47 例，CS 组 49 例。记录了手术时间、术中出血量、卧床天数和并发症等数据。通过 Harris 评分评估患者的关节功能。在最后一次随访时，根据患者的总费用和髋关节功能对两种方法的成本效益进行了分析：结果：FNS组患者的术中失血量明显高于CS组，但住院时间明显少于CS组。FNS 组和 CS 组的并发症发生率无明显差异。术后3个月时，FNS组的关节功能明显优于CS组。最后一次随访时，两组患者的 Harris 评分无明显差异。FNS 组 1 年的总体医疗费用较高。成本效益分析显示，与 CS 组相比，FNS 组每增加一个 Harris 评分，需多支付 5761.1 元：结论：FNS 和 CS 内固定治疗 FNF 均能取得满意的临床效果。结论：FNS 和 CS 内固定治疗 FNF 均能取得满意的临床效果，FNS 治疗有助于患者早期功能恢复，但总体医疗费用较高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Biotechnology & Genetic Engineering Reviews BIOTECHNOLOGY & APPLIED MICROBIOLOGY-GENETICS & HEREDITY

CiteScore

6.50

自引率

3.10%

发文量

期刊介绍： Biotechnology & Genetic Engineering Reviews publishes major invited review articles covering important developments in industrial, agricultural and medical applications of biotechnology.