股骨颈系统与三枚空心螺钉固定年轻患者股骨颈骨折的比较：一项回顾性队列研究。

IF 2.1 4区医学 Q2 SURGERY

Journal of Investigative Surgery Pub Date : 2023-12-01 Epub Date: 2023-10-09 DOI:10.1080/08941939.2023.2266752

Shuang G Yan, Yiliang Cui, Di Li, Fanxiao Liu, Xingyi Hua, Florian Schmidutz

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引用次数: 0

摘要

目的：比较新型股骨颈系统（FNS）和空心加压螺钉（CCS）治疗年轻患者股骨颈骨折的临床效果。方法：对2017年8月至2022年8月接受FNS或CCS治疗的年轻股骨颈骨折患者进行回顾性研究。髋关节功能结果采用Harris髋关节评分（HHS）进行评估。次要结果包括手术时间、手术失血量、满意度视觉模拟评分（VAS）、荧光镜检查频率、骨折愈合时间和并发症。结果：共有49名患者（22名FNS和27名CCS），最低随访时间为12 月。HHS也没有显著差异（p = 0.27）和满意度VAS（p = 0.10）。FNS患者失血较多（50.45 ± 5.28 mL与20.67 ± 4.71 ml，p p p p p = 0.03）。结论：FNS和CCS具有相似的髋关节功能。FNS可以减少透视暴露和并发症，如股骨颈缩短和拔钉。因此，FNS可以作为CCS的替代方案，用于年轻患者股骨颈骨折的固定。

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Femoral Neck System versus Three Cannulated Screws for Fixation of Femoral Neck Fractures in Younger Patients: A Retrospective Cohort Study.

Objective: To compare the clinical results of a new femoral neck system (FNS) and cannulated compression screws (CCS) for the treatment of femoral neck fractures in younger patients.

Methods: Retrospective study was performed in younger patients with femoral neck fractures that were treated with FNS or CCS from August 2017 to August 2022. The hip functional outcomes were assessed with the Harris hip score (HHS). Secondary outcomes included the surgical time, surgical blood loss, satisfaction visual analog scale (VAS), fluoroscopy frequency, fracture healing time and complications.

Results: A total of 49 patients (22 FNS and 27 CCS) with a minimum follow-up of 12 months were included. There was also no significant difference in HHSs (p = 0.27) and satisfaction VAS (p = 0.10) between them. Patients with FNS had more blood loss (50.45 ± 5.28 mL vs. 20.67 ± 4.71 ml, p < 0.01), lower fluoroscopy frequency (16.64 ± 3.32 vs. 23.59 ± 3.39, p < 0.01) and lower fracture healing time (3.76 ± 0.42 vs. 4.46 ± 0.59 months, p < 0.01). The femoral neck shortening and incidence of nail withdrawal in the FNS group was significantly lower than CCS group (2.91 ± 1.95 vs. 4.44 ± 1.52 mm, p < 0.01; 4.5% vs. 22.2%, p = 0.03).

Conclusions: The FNS and CCS get similar hip functions. The FNS can reduce fluoroscopy exposure and the complications such as femoral neck shortening and nail withdrawal. Thus, FNS can be an alternative to CCS for the fixation of femoral neck fractures in younger patients.

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来源期刊

Journal of Investigative Surgery 医学-外科

CiteScore

4.20

自引率

0.00%

发文量

114

审稿时长

6-12 weeks

期刊介绍： Journal of Investigative Surgery publishes peer-reviewed scientific articles for the advancement of surgery, to the ultimate benefit of patient care and rehabilitation. It is the only journal that encompasses the individual and collaborative efforts of scientists in human and veterinary medicine, dentistry, basic and applied sciences, engineering, and law and ethics. The journal is dedicated to the publication of outstanding articles of interest to the surgical research community.