Ortopedia, traumatologia, rehabilitacja最新文献_第7页

The Effect of the Covid-19 Pandemic on the Epidemiology of Ankle Joint Injuries in Adults and Children. 新冠肺炎疫情对成人和儿童踝关节损伤流行病学的影响

Ortopedia, traumatologia, rehabilitacja Pub Date : 2022-12-31 DOI: 10.5604/01.3001.0016.2318

Krzysztof Klepacki, Łukasz Tomczyk, Grzegorz Miękisiak, Piotr Morasiewicz

{"title":"The Effect of the Covid-19 Pandemic on the Epidemiology of Ankle Joint Injuries in Adults and Children.","authors":"Krzysztof Klepacki, Łukasz Tomczyk, Grzegorz Miękisiak, Piotr Morasiewicz","doi":"10.5604/01.3001.0016.2318","DOIUrl":"https://doi.org/10.5604/01.3001.0016.2318","url":null,"abstract":"Background: Ankle joint injuries are an important orthopedic issue due to their high incidence and the variety of treatment methods available. This study assessed the effect of the COVID-19 pandemic on the epidemiology and treatment of ankle joint injuries. There is lack of papers which address this problem.Material and methods: This study compared epidemiological data on ankle joint injuries in adults and children collected during the period of the COVID-19 pandemic (2020) and a corresponding prepandemic period (2019). Epidemiological data, demographic data, treatment methods, hospital stay duration, and injury-to-surgery time were analyzed.Results: The total number of patients hospitalized for ankle fractures in the evaluated pandemic period was lower by 34% than that in the corresponding prepandemic period in 2019. The pediatric patient subpopulation showed a 70% decline during the analyzed period of COVID-19 pandemic. The number of hospitalized females declined by 12%, and the number of hospitalized males dropped by 53%.Conclusions: 1. Our study showed the impact of the COVID-19 pandemic on the epidemiology and treatment of ankle joint injuries. 2. The COVID-19 pandemic effected a decrease in the number of patients with ankle joint injuries, particularly pediatric and male patients with these injuries. 3. National lockdown measures had a considerable effect on lowering the numbers of pediatric patients with ankle joint injuries treated conservatively. 4. Importantly, the tendency can be noted among orthopedic surgeons and emergency room doctors to more readily qualify orthopedic patients for a trial of conservative treatment. This only prolongs the duration of treatment and time to the ultimate therapeutic surgery.","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"24 6","pages":"363-373"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10657628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Has the ProFHER Trial Changed the Orthopaedic Surgeons' Decision Making and Treatment of Proximal Humeral Fractures? 教授试验是否改变了骨科医生的工作方式?肱骨近端骨折的决策与治疗?

Ortopedia, traumatologia, rehabilitacja Pub Date : 2022-12-31 DOI: 10.5604/01.3001.0016.2321

Kunal Dwijen Roy, Emma Poyser, Sunil Raj, Joseph Boktor, Hemang Mehta

{"title":"Has the ProFHER Trial Changed the Orthopaedic Surgeons' Decision Making and Treatment of Proximal Humeral Fractures?","authors":"Kunal Dwijen Roy, Emma Poyser, Sunil Raj, Joseph Boktor, Hemang Mehta","doi":"10.5604/01.3001.0016.2321","DOIUrl":"https://doi.org/10.5604/01.3001.0016.2321","url":null,"abstract":"Background: To explore the impact of the ProFHER trial on initial decision making in the management of proximal humerus fractures at a district general hospital (DGH).Material and methods: Retrospective review of all proximal humerus fractures at a single DGH during 1 year before ProFHER (2014) and 1 year following publication (2018). Data related to demographics, fracture pattern, and management was collected from electronic patient records and analysed.Results: 52 patients in 2014 and 70 patients in 2018 met the inclusion criteria. There was no significant difference in demographics or fracture classification. Fewer patients were admitted from Accident and Emergency in 2018 (44% vs 55%). Of patients admitted, there was no significant difference between the proportion referred to a shoulder surgeon (SS) (27.5% vs 30%). In patients seen initially in fracture clinic by a non-shoulder surgeon (NSS), significantly fewer were referred for a SS opinion in 2018 (6.7%) vs 2014 (50%). Computed tomography was requested in 5/52 cases (9.6%) in 2014 and 8/70 cases (11.4%) in 2018, all cases involved an SS. Significantly more patients (14/52, 27%) were managed surgically in 2014 compared to 2018 (10/70, 14%). All patients were discharged with the exception of 1 patient in each group who required later surgical intervention.Conclusions: 1. The widely disseminated ProFHER trial is likely to have influenced contemporary clinical practice. 2. This study shows non-shoulder specialists are more likely to manage these patients conservatively and without the involvement of shoulder surgeons post ProFHER. 3. This impact on clinical outcomes requires further research.","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"24 6","pages":"393-397"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10660116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Smoking as an Additional Risk Factor in Arthroscopic Rotator Cuff Repair among Type 2 Diabetics. 吸烟是2型糖尿病患者关节镜下肩袖修复的一个额外危险因素。

Ortopedia, traumatologia, rehabilitacja Pub Date : 2022-12-31 DOI: 10.5604/01.3001.0016.2319

Mikołaj Podsiadło, Adrian Błasiak, Leszek Borkowski, Roman Brzóska

{"title":"Smoking as an Additional Risk Factor in Arthroscopic Rotator Cuff Repair among Type 2 Diabetics.","authors":"Mikołaj Podsiadło, Adrian Błasiak, Leszek Borkowski, Roman Brzóska","doi":"10.5604/01.3001.0016.2319","DOIUrl":"https://doi.org/10.5604/01.3001.0016.2319","url":null,"abstract":"BACKGROUND\u0000Rotator cuff tear is a common condition that affects majority of people at some point during lifetime. The purpose of this study was to investigate if smoking minimum 1 pack year before arthroscopic rotator cuff repair is an additional risk factor for lesser outcomes among patients suffering simultaneously of diabetes type 2.\u0000\u0000\u0000MATERIAL AND METHODS\u000040 patients Aged 41-74 operated on between 2017-2020 at St. Lukes Hospital by the same team, were dived into 2 groups. 26 of them suffered Diabetes Mellitus t. 2 prior to surgery and 14 apart from DM t.2 declared additionaly current smoking for at least 1 pack year before the repair. The patients were then assessed pre-op and at 3 and 6 months post-op using QuickDASH score and VR-12 questionnaire. The patients were also investigated for early complications rate within 90 days post-op as well as for secondary hospitalization within 30 days post- op.\u0000\u0000\u0000RESULTS\u0000Using standard statistical procedures, the study revealed significantly worse repair outcomes in the smokers group confirming the hypothesis. None of the patients regardless of smoking status and comorbidities suffered any complication or secondary hospitalization during first 3 months post-op .\u0000\u0000\u0000CONCLUSION\u0000Smoking at least 1 pack year prior to arthroscopic rotator cuff repair is an additional factor for lesser outcomes.","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"24 6","pages":"375-384"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10665571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Functional Status, Pain and Shoulder Mobility in Frozen Shoulder A Prospective Study. 肩周炎的功能状态、疼痛和肩关节活动度:一项前瞻性研究。

Ortopedia, traumatologia, rehabilitacja Pub Date : 2022-12-31 DOI: 10.5604/01.3001.0016.2320

Tatjana Ješić, Klemen Grabljevec, Zala Kuret

{"title":"Functional Status, Pain and Shoulder Mobility in Frozen Shoulder A Prospective Study.","authors":"Tatjana Ješić, Klemen Grabljevec, Zala Kuret","doi":"10.5604/01.3001.0016.2320","DOIUrl":"https://doi.org/10.5604/01.3001.0016.2320","url":null,"abstract":"The aim of our study was to assess the clinical course, disease duration, functional status dynamics and prevalence of elevated blood sugar values in patients with frozen shoulder (FS). We also tested two other hypotheses: a) Duration of symptoms before the beginning of therapy affects rehabilitation outcome and duration of symptoms. b) Postponed initiation of therapy affects the duration of sick leave.Our prospective study took place at the University Rehabilitation Institute-Republic of Slovenia (URI-RS) between April 2017 and March 2021. The sample comprised 26 patients with FS. We evaluated patients every 3 months for consecutive 2 years with the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, the Shoulder Pain and Disability Index (SPADI) and by measuring the shoulder range of motion (ROM).During the first year, there was a statistically significant change in passive ROM, against no improvement in the second year of follow-up. Only one of the patients was a known diabetic, the majority (77 %) of patients had normal blood sugar values, and in the remaining patients, elevated levels were incidental findings. Twelve patients were on sick leave for more than 12 weeks.The study showed that the duration of sick leave did not corelate with time to treatment initiation. It is advisable to perform a fasting blood sugar test in patients with FS.","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"24 6","pages":"385-391"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10657627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trapeziometacarpal Osteoarthritis Anatomy, Biomechanics, Epidemiology, And Diagnosis. 骨关节炎解剖、生物力学、流行病学与诊断。

Ortopedia, traumatologia, rehabilitacja Pub Date : 2022-12-31 DOI: 10.5604/01.3001.0016.2322

Michał Kanak, Robert Rokicki, Joanna Wojna

{"title":"Trapeziometacarpal Osteoarthritis Anatomy, Biomechanics, Epidemiology, And Diagnosis.","authors":"Michał Kanak, Robert Rokicki, Joanna Wojna","doi":"10.5604/01.3001.0016.2322","DOIUrl":"https://doi.org/10.5604/01.3001.0016.2322","url":null,"abstract":"Arthritis is the most common joint disease. It impairs patients quality of life on account of the associated chronic pain and loss of joint function. The thumb is the most important digit of the hand and trapeziometacarpal osteoarthritis (carpometacarpal arthritis / CMC-1 arthritis) may significantly compromise functions of the entire hand. CMC-1 arthritis produces several non-specific symptoms, affecting mainly postmenopausal women. The risk of developing CMC-1 arthritis increases with age.Considering these facts, knowledge about the etiopathogenesis and diagnosis of CMC-1 arthritis should be widely disseminated and based on evidence-based medicine. The first step in the diagnostic work-up is a detailed history and clinical examination where the use of more sensitive tests than the grind test, e.g. the pressure-shear test, is recommended. It is advisable to widen the classic radiographic views with additional thumb projections such as Roberts view. The use of magnetic resonance imaging or computed tomography is only advised in special individual cases.This paper aims to present the most up-to-date knowledge about: (1) the anatomy and biomechanics of the trapeziometacarpal joint, (2) the epidemiology of CMC-1 arthritis and (3) its diagnosis. It is based on the latest literature (mainly works published in the last 5 years) acquired from databases such as PubMed, Clinical Key and Science Direct. The article is the first of a two-part series that presents a diagnostic-therapeutic algorithm for CMC-1 arthritis. The authors believe that it may contribute to broadening knowledge about CMC-1 arthritis, optimizing the therapeutic process and improving care for patients with CMC-1 arthritis in Poland.","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"24 6","pages":"399-406"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10665570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fixation of Fresh Femoral Neck Fractures Using Fibular Strut Graft Along with Cannulated Screws. 腓骨支架联合空心螺钉固定新鲜股骨颈骨折。

Ortopedia, traumatologia, rehabilitacja Pub Date : 2022-10-31 DOI: 10.5604/01.3001.0016.1364

Misbah Mehraj, Sidhartha Khurana, Bijender Kumar, Jashandeep Singh Chahal

{"title":"Fixation of Fresh Femoral Neck Fractures Using Fibular Strut Graft Along with Cannulated Screws.","authors":"Misbah Mehraj, Sidhartha Khurana, Bijender Kumar, Jashandeep Singh Chahal","doi":"10.5604/01.3001.0016.1364","DOIUrl":"https://doi.org/10.5604/01.3001.0016.1364","url":null,"abstract":"Background: Intracapsular femoral neck fractures can result from trivial trauma in the elderly or high-energy trauma in younger age-groups. In younger patients aged <60 years, the femoral head should be conserved to avoid the long-term complications of replacement arthroplasty. The options of osteosynthesis include closed/ open reduction and internal fixation with/without bone grafting. Internal fixation alone does not provide rigid fixation, owing to cavities in the posterior part of the femoral head and neck. Fibular grafts augment union and provide strength to the posterior cortex during reconstruction of the femoral neck. We evaluated the use of fibular grafting for fresh femoral neck fractures with posterior comminution.Material and methods: Between November 2019 and March 2022, 20 women and 12 men aged 20 to 60 years underwent osteosynthesis and fibular strut grafting supplemented with 7.0-mm cannulated hip screws for Garden grades III (n=19) and IV (n=13) femoral neck fractures. Clinical and radiological outcomes were evaluated.Results: Patients were followed up for a period of 15 months. According to the Harris hip score, outcome was good to excellent in 23, fair in 7, and poor in 2. 30 of the 32 patients achieved bone union after a mean of 4.5 (range 3.5-5.5) months. In 2 patients, the bone was united with a mean of 10º of varus collapse. Two patients had non-union. Other complications included screw migration in the joint space (n=1) and screw pullout (n=2). No patient had avascular necrosis of the femoral head.Conclusion: Fixation with cancellous screws and fibular strut grafts for femoral neck fractures is cost-effective and technically less demanding, and associated with good outcomes.","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"24 5","pages":"319-323"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10381778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

The Effect of Systemic Tranexamic Acid on Blood Loss and Blood Transfusion Requirement in Elective Total Hip Arthroplasty. 选择性全髋关节置换术中全身氨甲环酸对失血量和输血需求的影响。

Ortopedia, traumatologia, rehabilitacja Pub Date : 2022-10-31 DOI: 10.5604/01.3001.0016.1318

Özgür Avcı, Alpaslan Öztürk, Nazan Çevik, Yavuz Akalın, Harun Sağlıcak, Hikmet Şahin

{"title":"The Effect of Systemic Tranexamic Acid on Blood Loss and Blood Transfusion Requirement in Elective Total Hip Arthroplasty.","authors":"Özgür Avcı, Alpaslan Öztürk, Nazan Çevik, Yavuz Akalın, Harun Sağlıcak, Hikmet Şahin","doi":"10.5604/01.3001.0016.1318","DOIUrl":"https://doi.org/10.5604/01.3001.0016.1318","url":null,"abstract":"Background: Although total hip arthroplasty (THA) is one of the most successful surgical procedures of the last century, high rates of bleeding and allogeneic blood transfusion may be required. Tranexamic acid (TXA) is an antifibrinolytic agent that has been increasingly used in THA in recent years to reduce blood loss and the need for transfusion. In this study, the effect of two doses of TXA, which was administered intravenously (iv) before and after surgery in unilateral THA patients, on total blood loss and blood transfusion need was compared retrospectively.Material and methods: A total of 327 patients who underwent elective THA at our department between January 2011 and January 2020 were identified. Demographic data, blood parameters before and after surgery and complications seen during a 90-day follow-up period were recorded from patient files. Total blood loss amounts were calculated according to Nadler's formula. The amount of transfused blood was recorded. 127 patients treated with IV TXA and 119 patients not given TXA were assigned to separate groups and compared.Results: Total mean blood loss, decrease in hemoglobin levels and amount of blood transfusion were lower in the TXA group compared to the control group (p=0.001; p=0.001; p=0.001, respectively). The length of stay hospital was shorter in the TXA group than the control group (p=0.001).Conclusion: We think that it is an effective and reliable method in THA since giving IV TXA twice, as 15 mg / kg preoperatively and 10 mg / kg after the operation significantly reduces blood loss and the need for blood transfusion without causing an increase in thromboembolic complications.","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"24 5","pages":"311-318"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10381776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Treatment of Extensive Soft Tissue Injury with Polypropylene Prosthesis: A Case Study. 聚丙烯假体治疗大面积软组织损伤一例。

Ortopedia, traumatologia, rehabilitacja Pub Date : 2022-10-31 DOI: 10.5604/01.3001.0016.1319

Roberta Pegoraro Monteiro Guimarães, Ivan Leite De Morais, Victor Azuréu Barcelos, Diego Bento De Oliveira, Julia Victoria Gonçalves Mourão, Rafael Caetano da Silva Santana, Ricardo Luiz Ramos Filho, Eduardo César Almeida Arbildi

{"title":"Treatment of Extensive Soft Tissue Injury with Polypropylene Prosthesis: A Case Study.","authors":"Roberta Pegoraro Monteiro Guimarães, Ivan Leite De Morais, Victor Azuréu Barcelos, Diego Bento De Oliveira, Julia Victoria Gonçalves Mourão, Rafael Caetano da Silva Santana, Ricardo Luiz Ramos Filho, Eduardo César Almeida Arbildi","doi":"10.5604/01.3001.0016.1319","DOIUrl":"https://doi.org/10.5604/01.3001.0016.1319","url":null,"abstract":"Injuries with exposure of soft tissue are frequent in orthopaedics. Innovative therapies using prosthesis as an auxiliary material to treat this type of injury are under development, aiming to overcome applicability and execution limitations of myocutaneous flap techniques. Figueiredo's technique uses a polypropylene prosthesis extracted from sterile saline to treat trauma at the fingertip. It is an alternative technique with a high success rate, reproducible, low cost and easy to apply. This article reports a case of foot injury with exposure of soft tissue treated with a treatment similar to Figueiredo's technique. The patient was admitted with a large and contaminated skin wound, muscle damage, tendon exposure, cuboid fracture and bone loss. Initially, debridement was performed. After 72 hours, a polypropylene prosthesis extracted from a sterile saline bottle was implanted and subsequently replaced after 60 days. After 76 days, the prosthesis was removed. There was no infection. 8 months later, there was total healing by second intention. The patient's motor and sensory functions were preserved. This case study shows that Figueiredo's technique can also be employed in more extensive injuries, representing an alternative to using myocutaneous flaps. The polypropylene prosthesis is extremely affordable, which enables resolution of cases in a greater number of services. This technique still offers the best aesthetic result and does not compromise other body regions.","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"24 5","pages":"335-339"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10381777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of the Effect of Excess Synovial Fluid on Knee Joint Pain in Patients with Osteoarthritis. 滑膜液过量对骨关节炎患者膝关节疼痛影响的评价。

Ortopedia, traumatologia, rehabilitacja Pub Date : 2022-10-31 DOI: 10.5604/01.3001.0016.1594

Beata Olesiak, Agnieszka Przedborska

引用次数: 0

Early Results of Internal Fixation with Femoral Neck System in Young Patients with Femoral Neck Fracture. 股骨颈系统内固定治疗年轻股骨颈骨折的早期疗效。

Ortopedia, traumatologia, rehabilitacja Pub Date : 2022-10-31 DOI: 10.5604/01.3001.0016.1315

Misbah Mehraj, Sidhartha Khurana, Umang R Joshi, Ayush Jain, Bijender Kumar, Bojanapu Bhanu Prakash, Iqra Shah

{"title":"Early Results of Internal Fixation with Femoral Neck System in Young Patients with Femoral Neck Fracture.","authors":"Misbah Mehraj, Sidhartha Khurana, Umang R Joshi, Ayush Jain, Bijender Kumar, Bojanapu Bhanu Prakash, Iqra Shah","doi":"10.5604/01.3001.0016.1315","DOIUrl":"https://doi.org/10.5604/01.3001.0016.1315","url":null,"abstract":"Background: Femoral neck fractures are intracapsular hip fractures. There are several surgical implants that have been used to treat femoral neck fractures. Depuy Synthes Products and the lower extremity expert group have developed an innovative femoral neck system (FNS) for fixing femoral neck fractures. With minimally invasive procedures, FNS can provide angular stability.Materials and methods: A non-randomized single centre prospective study was conducted in 30 patients of less than 60 years of age at Maharishi Markandeshwar Institute of Medical Sciences and Research between August 2020 to May 2022. All patients underwent internal fixation with FNS within 48 hours of presentation.Results: Although blood loss and operative time in our operated group was more than that in conventional fixation by cannulated screws, our group had better VAS scores, better Harris scores and lower complication rates.Conclusions: 1. The Femoral Neck System resulted in better biomechanical properties and good early results in femoral neck fractures. FNS gives both angular stability and rotational stability. The last follow-up in our study showed Harris score to be significantly higher, and the incidence of complications were lower. 2. The combination of FNS bolts with anti-rotation screws avoids the \"Z\" effect and improves the overall stability and anti-rotation effect. 3. In addition, the novel sliding compression mechanism of FNS allows the fracture ends to come in close contact with each other, benefitting fracture healing.","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"24 5","pages":"305-309"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10381775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1