Abstract
BackgroundTo compare the clinical efficacy of a femoral neck system (FNS) and cannulated screws (CS) in the treatment of femoral neck fracture in young adults.MethodsData from 69 young adults, who were admitted for femoral neck fracture between March 2018 and June 2020, were retrospectively analyzed. Patients were divided into two groups according to surgical method: FNS and CS. The number of intraoperative fluoroscopies, operative duration, length of hospital stay, fracture healing time, Harris score of hip function, excellent and good rate of hip function, and postoperative complications (infection, cut out the internal fixation, nail withdrawal, and femoral neck shortening) were compared between the two groups. Hip joint function was evaluated using the Harris Hip Scoring system.ResultsAll 69 patients had satisfactory reduction and were followed up for 12–24 months, with a mean follow-up of 16.91 ± 3.01 months. Mean time to fracture healing was13.82 ± 1.59 and 14.03 ± 1.78 weeks in the FNS and CS groups, respectively. There was a statistical difference in the number of intraoperative fluoroscopies between the 2 groups (P = 0.000). There were no significant differences, in operation duration, hospital length of stay, fracture healing time, complications, Harris Hip Score for hip function and excellent and good rate between the two groups (P > 0.05). The incidence of complications was 6.1%(2/33) in the FNS group lower than 25%(9/36) in the CS group, a difference that was statistically significant (P = 0.032). At the last follow-up, the Harris Hip Score of the hip joint in the FNS group was 90.42 ± 4.82and 88.44 ± 5.91 in the CS group.ConclusionsBoth treatment methods resulted in higher rates of fracture healing and excellent hip function. Compared with CS, the FNS reduced the number of intraoperative fluoroscopies, radiation exposure to medical staff and patients, and short-term complications including femoral neck shortening and bone nonunion.
Highlights
To compare the clinical efficacy of a femoral neck system (FNS) and cannulated screws (CS) in the treatment of femoral neck fracture in young adults
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In an autopsy study involving cadaver specimens, Putnam et al [5] reported that the inferior retinacular artery of the medial femoral artery is an important source of blood to the femoral head after femoral neck fracture, which is injured in the process of high-energy impact(s) and corrective surgery itself, and can lead to serious postoperative complications including bone nonunion and necrosis of the femoral head, among others, with an incidence of approximately 7–33% and 10–30% [6]
Summary
To compare the clinical efficacy of a femoral neck system (FNS) and cannulated screws (CS) in the treatment of femoral neck fracture in young adults. Femoral neck fractures occur mainly in elderly individuals, accounting for 48–54% of hip fractures, while younger adults (age < 65 years) who experience femoral neck fracture account for approximately 3% of cases; the treatment of younger adults is a. DePuy Synthes (Johnson & Johnson Medical Devices, New Brunswick, NJ, USA) developed a new internal fixation device for the treatment of femoral neck fractures in young adults known as the “Femoral Neck System” (FNS). This study aimed to compare the clinical efficacy of the FNS versus cannulated compression screws (CS) in the treatment of femoral neck fracture in young adults
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