PMID- 34399801
OWN - NLM
STAT- MEDLINE
DCOM- 20220112
LR  - 20220112
IS  - 1749-799X (Electronic)
IS  - 1749-799X (Linking)
VI  - 16
IP  - 1
DP  - 2021 Aug 16
TI  - Femoral neck system versus inverted cannulated cancellous screw for the treatment 
      of femoral neck fractures in adults: a preliminary comparative study.
PG  - 504
LID - 10.1186/s13018-021-02659-0 [doi]
LID - 504
AB  - BACKGROUND: The femoral neck system (FNS) may be a valid alternative for treating 
      femoral neck fractures, but few studies have compared the outcomes between FNS 
      and cannulated cancellous screws. This study aimed to compare the clinical 
      efficacy and complications of FNS with those of inverted cannulated cancellous 
      screws (ICCS) for the treatment of femoral neck fractures in adults. METHODS: 
      This retrospective study evaluated patients with femoral neck fractures who 
      underwent FNS or ICCS internal fixation between June 2019 and January 2020. The 
      operative time, intraoperative blood loss, number of fluoroscopies, length of 
      surgical incision, length of hospital stay, time to fracture healing, and other 
      indicators were compared between the two groups. The incidence of complications 
      such as nonunion, avascular necrosis of the femoral head, loosening of the 
      internal fixation, and shortening of the femoral neck during follow-up was also 
      assessed in both groups. RESULTS: Among the 92 patients included, 47 and 45 
      patients were categorized into the FNS and ICCS groups, respectively. Follow-up 
      ranged from 14 to 24 months. There were no significant between-group differences 
      in sex, age, side of the injured limb, and type of fracture and in operative 
      time, intraoperative blood loss, incision length, and length of hospital stay 
      (all P > 0.05). The incidence of complications such as fracture nonunion, 
      avascular necrosis of the femoral head, and screw loosening was also comparable 
      between the two groups. However, the number of fluoroscopies was significantly 
      lower in the FNS group than in the ICCS group (P < 0.05). The fracture healing 
      time was also significantly lower in the FNS group than in the ICCS group (P < 
      0.05). Furthermore, the femoral neck shortening and Harris hip score at the last 
      follow-up were significantly better in the FNS group than in the ICCS group (P < 
      0.05). CONCLUSIONS: FNS for femoral neck fractures improves hip functional 
      recovery and reduces the femoral neck shortening rate and fluoroscopy exposure 
      postoperatively. Thus, FNS can be an alternative to ICCS for the treatment of 
      femoral neck fractures.
CI  - (c) 2021. The Author(s).
FAU - Tang, Yunfeng
AU  - Tang Y
AD  - Department of Orthopaedics, West China Hospital, West China School of Medicine, 
      Sichuan University, No. 37, Wuhou Guoxue Road, 610041, Chengdu, Sichuan, People's 
      Republic of China.
FAU - Zhang, Zhen
AU  - Zhang Z
AD  - Department of Orthopaedics, West China Hospital, West China School of Medicine, 
      Sichuan University, No. 37, Wuhou Guoxue Road, 610041, Chengdu, Sichuan, People's 
      Republic of China.
FAU - Wang, Limin
AU  - Wang L
AD  - Department of Orthopaedics, West China Hospital, West China School of Medicine, 
      Sichuan University, No. 37, Wuhou Guoxue Road, 610041, Chengdu, Sichuan, People's 
      Republic of China.
FAU - Xiong, Wei
AU  - Xiong W
AD  - Department of Orthopaedics, West China Hospital, West China School of Medicine, 
      Sichuan University, No. 37, Wuhou Guoxue Road, 610041, Chengdu, Sichuan, People's 
      Republic of China.
FAU - Fang, Qian
AU  - Fang Q
AD  - Department of Orthopaedics, West China Hospital, West China School of Medicine, 
      Sichuan University, No. 37, Wuhou Guoxue Road, 610041, Chengdu, Sichuan, People's 
      Republic of China.
FAU - Wang, Guanglin
AU  - Wang G
AD  - Department of Orthopaedics, West China Hospital, West China School of Medicine, 
      Sichuan University, No. 37, Wuhou Guoxue Road, 610041, Chengdu, Sichuan, People's 
      Republic of China. wangglfrank@hotmail.com.
LA  - eng
PT  - Journal Article
DEP - 20210816
PL  - England
TA  - J Orthop Surg Res
JT  - Journal of orthopaedic surgery and research
JID - 101265112
SB  - IM
MH  - Adult
MH  - Blood Loss, Surgical
MH  - Bone Screws
MH  - *Femoral Neck Fractures/diagnostic imaging/surgery
MH  - *Femur Head Necrosis/diagnostic imaging/etiology/surgery
MH  - Femur Neck
MH  - Fracture Fixation, Internal/adverse effects
MH  - Humans
MH  - Retrospective Studies
MH  - *Surgical Wound
MH  - Treatment Outcome
PMC - PMC8365927
OTO - NOTNLM
OT  - Femoral neck fracture
OT  - Femoral neck system
OT  - Inverted cannulated cancellous screws
COIS- The authors declare that they have no competing interests.
EDAT- 2021/08/18 06:00
MHDA- 2022/01/13 06:00
PMCR- 2021/08/16
CRDT- 2021/08/17 05:45
PHST- 2021/07/01 00:00 [received]
PHST- 2021/08/09 00:00 [accepted]
PHST- 2021/08/17 05:45 [entrez]
PHST- 2021/08/18 06:00 [pubmed]
PHST- 2022/01/13 06:00 [medline]
PHST- 2021/08/16 00:00 [pmc-release]
AID - 10.1186/s13018-021-02659-0 [pii]
AID - 2659 [pii]
AID - 10.1186/s13018-021-02659-0 [doi]
PST - epublish
SO  - J Orthop Surg Res. 2021 Aug 16;16(1):504. doi: 10.1186/s13018-021-02659-0.