Autogenous fibula graft and cannulated screw fixation to cephalic cut out after DHS fixation: a retrospective study

Abstract

Background: This study aimed to explore the effect of the treatment through autologous fibula graft and hollow needle fixation to treat femoral head cutting after dynamic hip screw (DHS) fixation. Methods: A total of 41 patients were admitted to the department of orthopedic trauma and received DHS fixation. Preoperative and postoperative harris score of hip function, limb shortening length and collodiaphysial angle between operation group (n = 11) and non-operation group (n = 13) were compared. Results: There was no difference between the two groups before surgery (P > 0.05). There was a difference between the preoperative and postoperative in the operation group (P < 0.05). The excellent and good rate of the hip function score in patients 6 months after the operation was 55.6%. In the operation group, the hip function score increased after surgery (P < 0.001). Except for two groups of patients before operation, there was a difference in the limb shortening length and collodiaphysial angle between the operation group and non-operation group in other time points after surgery (P < 0.001). Conclusion: The application of the autogenous fibula graft and hollow nail fixation was effective in treating femoral head cutting after DHS fixation, and patients' subjective evaluation and objective indicators' outcomes of follow up were satisfactory, which was worthy of clinical application.

Proximal femoral nail anti‐rotation vs dynamic hip screws decrease the incidence of surgical site infections in patients with intertrochanteric fractures: A meta‐analysis

“…DHS is suitable for stable intertrochanteric fractures and is advantageous in its ease of use, rapid recovery, and limited postoperative complications. Combined, these factors significantly improve the treatment outcome for intertrochanteric fractures 8,9 …”

“…Combined, these factors significantly improve the treatment outcome for intertrochanteric fractures. 8,9 PFNA is a modification of PFN. Its main feature includes the fact that the proximal end may be changed from two screws to a spiral blade.…”

“…One end of the nail holds the bone fragments in place and ensures that they resume their original positions. 8,9 Directional pressure is then applied to the fracture site via the other end of the nail. This promotes bone healing and reconstruction.…”

“…DHS insertion involves passing a nail through the femoral bone and into the medullary cavity. One end of the nail holds the bone fragments in place and ensures that they resume their original positions 8,9 . Directional pressure is then applied to the fracture site via the other end of the nail.…”

A Retrospective Study of 98 Elderly Patients with High-Risk Lateral Femoral Wall Intertrochanteric Hip Fractures to Compare Outcomes Following Surgery with Proximal Femoral Nail Antirotation (PFNA) Versus Dynamic Hip Screw (DHS)

“…At present, internal fixation is widely accepted for use in surgical treatment. Internal fixation surgery should be used when the patient’s physical condition allows, as it can ensure that the FIF is reduced in a timely and stable manner, allowing the patient to regain mobility as soon as possible, reducing serious complications caused by long-term bed rest, and ultimately reducing mortality and improving the prognosis [ 9 , 10 ]. At present, there are many surgical methods for the clinical treatment of FIF, including dynamic hip screw (DHS), femoral antirotation intramedullary nail (PFNA), and artificial joint replacement [ 6 , 11 ].…”