Femoral Neck Fractures in Adults Treated With Internal Fixation: A Prospective Multicenter Chinese Cohort

Slobogean, Gerard P.; Stockton, David J.; Zeng, Bingfang; Wang, Dong; Ma, Baotong; Pollak, Andrew N.

doi:10.5435/jaaos-d-15-00661

Cited by 53 publications

(36 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The treatment of femoral neck fracture in young patients faces many challenges, and if clinicians fail to provide improper treatment, it may lead to catastrophic consequences for patients [2][3][4][5][12][13][14]. The proportion of patients with femoral neck fractures under 65 years who underwent total hip arthroplasty increased from 1.4-13.1% from 1999 to 2011 [14].…”

Section: Discussionmentioning

confidence: 99%

“…In a survey of 540 orthopedic surgeons, 78% of surgeons prefer to use multiple cannulated screws for the treatment of nondisplaced femoral neck fracture. For displaced fractures, multiple screws (46%) and sliding hip screws (SHS, 49%) were rst taken into consideration for the majority of orthopedic surgeons [12]. Most of the studies were reported higher rates of avascular necrosis, premature epiphyseal fusion, and heterotopic ossi cations after open reduction [8].…”

Section: Discussionmentioning

confidence: 99%

“…There is a large body of literature repeatedly emphasized the importance of reduction. It has been regarded as a key to effective treatment [6,12,17]. To achieve anatomical reduction, many scholars have made many attempts and explored some techniques, such as Whitman, Leadbetter, Deyerler reduction method.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Gotfried reduction and cannulated screws fixation in the treatment of femoral neck fracture in young adults

Huang

Fang

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Although many available surgical procedures for displaced femoral neck fractures in young patients, there are still many challenges to achieve satisfactory results. The incidence of avascular necrosis and nonunion rates remain relatively high despite the progress in our understanding and surgical technique. The purpose of this study was to evaluate the clinical efficacy of gotfried reduction and cannulated screw fixation in the treatment of femoral neck fracture for young adults.Methods: A retrospective analysis was made on 67 cases from May 2013 to March 2019. They were divided into three groups according to the first postoperative anteroposterior view of hip X-ray: Anatomic reduction (group A), Gotfried positive buttress reduction (group B), and Gotfried negative buttress reduction (group C). The incidence of avascular osteonecrosis of the femoral head (AVN) and the Harris scores of hip joints were compared in three groups at the last follow-up.Results: There were 21 cases (mean age,49.7 ± 11.6) in group A, 24 cases (mean age, 48.6 ± 11.3) in group B, 22 cases (mean age,48.3 ± 12.4) in group C. No significant difference in general preoperative demographics (P>0．05).The incidence of avascular necrosis of femoral head in Group A, B, and C was 19.05%,20.83%, and 22.73 %, respectively, showing no significant difference between groups(P=0．156). The mean Harris hip scores at the final follow-up for groups A (85．6±6．7)and B (84．5±6．2) were significantly higher than group C (74．3±8.3), and the difference was statistically significant(P=0．043).Conclusions: Gotfried positive buttress reduction and fixation for femoral neck fracture may lead to similar clinical results with anatomic reduction, but much better than Gotfried negative buttress reduction. For the patients of femoral neck fracture with severe displacement and difficulty in reduction, it is not necessary to pursue anatomical reduction。Achieving positive valgus reduction can also obtain satisfactory clinical results, and should try to avoid negative buttress.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Gotfried reduction and cannulated screws fixation in the treatment of femoral neck fracture in young adults

Huang

Fang

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Nonunion was judged according to the criteria described by Dhar et al [14]. Femoral head necrosis was judged according to the standard of Slobogean et al [15]. According to Slobogean et al [16] definition of femoral neck shortening, the difference between the measured value on the affected side and the normal side of the pelvic orthotopic x-ray film was assessed as femoral neck shortening.…”

Section: Outcome Measurementmentioning

confidence: 99%

Dynamic compression locking system versus multiple cannulated compression screw for the treatment of femoral neck fractures: a comparative study

Xiao¹,

Bei

Tao³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Femoral neck fractures are one of the problems in orthopedic treatment. The prognosis is uncertain. Currently, there is no one internal fixation for the treatment of femoral neck fractures that shows superiority over other internal fixations. Therefore, the internal fixation system needs to be further explored. The aim of this study was to compare clinical outcomes of femoral neck dynamic compression locking system （DCLS）and multiple cannulated compression screws（MCCS） in the treatment of femoral neck fractures.Methods: A prospective analysis of 54 cases of femoral neck fractures treated with either a DCLS (n=28) or MCCS (n=26) was conducted between December 2015 and November 2017 in authors’ hospitals. The perioperative and postoperative parameters of the two groups were recorded and evaluated.Results: Fifty-four patients were followed up for 24-47 months. The etiology was caused by a fall. There was no significant difference in follow-up time, operation time, incision length, surgical blood loss, the incidence of perioperative and postoperative healing complications, and mobility in the two groups (P> 0.05). The Harris score, fracture healing time, femoral neck shortening, partial weight-bearing time and complete weight-bearing time were significantly better in the DCLS group than in the MCCS group (P< 0.05). The fracture healing rate in the DCLS group was higher than that in the MCCS group.Conclusion: The DCLS and MCCS might be equally effective in terms of operation time, incision length, surgical blood loss, the incidence of perioperative and postoperative healing complications, and mobility in the treatment of femoral neck fractures. However, the DCLS is superior to the MCCS in Harris score, fracture healing time, femoral neck shortening, weight-bearing time and fracture healing rate. So, DCLS deserves further study.

show abstract

“…Nonunion was judged according to the criteria described by Dhar et al [14]. Femoral head necrosis was judged according to the standard of Slobogean et al [15]. According to Slobogean et al [16] definition of femoral neck shortening, the difference between measured value on the affected side and the normal side of pelvic orthotopic xray film was assessed as femoral neck shortening.…”

Section: Outcome Measurementmentioning

confidence: 99%

Dynamic compression locking system versus multiple cannulated compression screw for the treatment of femoral neck fractures: a comparative study

Shu¹,

Xiao²,

Bei

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Femoral neck fractures are one of the problems in orthopedic treatment. The prognosis is uncertain. Currently, there is no one internal fixation for the treatment of femoral neck fractures that shows superiority over other internal fixations. Therefore, the internal fixation system needs to be further explored. The aim of this study was to compare clinical outcomes of femoral neck dynamic compression locking system (DCLS)and multiple cannulated compression screws(MCCS) in the treatment of femoral neck fractures. Methods A prospective analysis of 54 cases of femoral neck fractures treated with either a DCLS (n=28) or MCCS (n=26) was conducted between December 2015 and November 2017 in authors’ hospitals. The perioperative and postoperative parameters of the two groups were recorded and evaluated. Results Fifty-four patients were followed up for 24-47 months. The etiology was caused by a fall. There was no significant difference in follow-up time, operation time, incision length, surgical blood loss, the incidence of perioperative and postoperative healing complications, and mobility in the two groups ( P > 0.05). The Harris score, fracture healing time, femoral neck shortening, partial weight-bearing time and complete weight-bearing time were significantly better in the DCLS group than in the MCS group ( P < 0.05). The fracture healing rate in the DCLS group was higher than that in the MCS group. Conclusion The DCLS and MCCS might be equally effective in terms of operation time, incision length, surgical blood loss, the incidence of perioperative and postoperative healing complications, and mobility in the treatment of femoral neck fractures. However, the DCLS is superior to the MCCS in Harris score, fracture healing time, femoral neck shortening, weight-bearing time and fracture healing rate. So, DCLS deserves further study.

show abstract

Femoral Neck Fractures in Adults Treated With Internal Fixation: A Prospective Multicenter Chinese Cohort

Abstract: Level I.

Cited by 53 publications

References 12 publications

Gotfried reduction and cannulated screws fixation in the treatment of femoral neck fracture in young adults

Gotfried reduction and cannulated screws fixation in the treatment of femoral neck fracture in young adults

Dynamic compression locking system versus multiple cannulated compression screw for the treatment of femoral neck fractures: a comparative study

Dynamic compression locking system versus multiple cannulated compression screw for the treatment of femoral neck fractures: a comparative study

Contact Info

Product

Resources

About