Comparative study of Pauwels type III femoral neck fractures managed by short dynamic hip screw with fibula bone graft or cannulated screws in young adults.
Femoral neck fracture
cannulated screws (CS)
dynamic hip screw (DHS)
fibula bone graft
young adults
Journal
Annals of translational medicine
ISSN: 2305-5839
Titre abrégé: Ann Transl Med
Pays: China
ID NLM: 101617978
Informations de publication
Date de publication:
Jun 2020
Jun 2020
Historique:
entrez:
4
7
2020
pubmed:
4
7
2020
medline:
4
7
2020
Statut:
ppublish
Résumé
The aim of our study was to compare the clinical effect of short dynamic hip screw (DHS) combined with fibula bone graft and short DHS combined with cannulated screws (CS) on the treatment of femoral neck fracture in young adults. Thirty-five Pauwels type III femoral neck fracture patients between January 2014 and May 2019 were divided into two groups: group A (patients treated with DHS combined with fibula bone graft) and group B (patient treated with DHS combined with CS). The operative time, intraoperative blood loss, fracture healing time and complication of two groups were recorded. There were no significant differences in operative time, intraoperative blood loss in two groups. Fracture healing time in group A (5.28±1.07) was significantly shorter than group B (7.31±1.65). The rate of fracture nonunion (0), femoral head necrosis (0) and withdrawal rate (0) in group A were significantly lower than that in group B (4, 23.5) (4, 23.5) (6, 35.3) (P<0.01). Postoperative Harris function score in group A (95.44±2.57) was higher than group B (87.82±7.79) (P<0.01). DHS combined with fibula bone graft can shorten the healing time of fracture, reduce the rate of bone nonunion and femoral head necrosis, and provide a new treatment method for Pauwels type III femoral neck fracture in young adults.
Sections du résumé
BACKGROUND
BACKGROUND
The aim of our study was to compare the clinical effect of short dynamic hip screw (DHS) combined with fibula bone graft and short DHS combined with cannulated screws (CS) on the treatment of femoral neck fracture in young adults.
METHODS
METHODS
Thirty-five Pauwels type III femoral neck fracture patients between January 2014 and May 2019 were divided into two groups: group A (patients treated with DHS combined with fibula bone graft) and group B (patient treated with DHS combined with CS). The operative time, intraoperative blood loss, fracture healing time and complication of two groups were recorded.
RESULTS
RESULTS
There were no significant differences in operative time, intraoperative blood loss in two groups. Fracture healing time in group A (5.28±1.07) was significantly shorter than group B (7.31±1.65). The rate of fracture nonunion (0), femoral head necrosis (0) and withdrawal rate (0) in group A were significantly lower than that in group B (4, 23.5) (4, 23.5) (6, 35.3) (P<0.01). Postoperative Harris function score in group A (95.44±2.57) was higher than group B (87.82±7.79) (P<0.01).
CONCLUSIONS
CONCLUSIONS
DHS combined with fibula bone graft can shorten the healing time of fracture, reduce the rate of bone nonunion and femoral head necrosis, and provide a new treatment method for Pauwels type III femoral neck fracture in young adults.
Identifiants
pubmed: 32617301
doi: 10.21037/atm-19-3344
pii: atm-08-11-681
pmc: PMC7327311
doi:
Types de publication
Journal Article
Langues
eng
Pagination
681Informations de copyright
2020 Annals of Translational Medicine. All rights reserved.
Déclaration de conflit d'intérêts
Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/atm-19-3344). The authors have no conflicts of interest to declare.
Références
J Child Orthop. 2017;11(1):28-35
pubmed: 28439306
Injury. 2016 Dec;47 Suppl 7:S44-S48
pubmed: 28040078
Injury. 2002 Dec;33 Suppl 3:C24-32
pubmed: 12423588
Clin Orthop. 1957;10:289-325
pubmed: 13561571
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2017 Sep 1;31(9):1043-1048
pubmed: 29798559
Injury. 2018 Aug;49(8):1587-1593
pubmed: 29929779
J Orthop Surg (Hong Kong). 2012 Aug;20(2):191-5
pubmed: 22933677
Calcif Tissue Int. 2012 Jul;91(1):24-31
pubmed: 22566242
Injury. 2011 Nov;42(11):1238-40
pubmed: 21146815
J Orthop Trauma. 2002 Aug;16(7):464-72
pubmed: 12172276
J Int Coll Surg. 1946 Jan-Feb;9:36-50
pubmed: 21020256
Indian J Orthop. 2016 Jul-Aug;50(4):345-51
pubmed: 27512214
J Bone Joint Surg Am. 1969 Jun;51(4):737-55
pubmed: 5783851
Orthopedics. 2013 Jul;36(7):e865-8
pubmed: 23823042
Int J Health Sci (Qassim). 2017 Nov-Dec;11(5):7-10
pubmed: 29114187
Arch Orthop Trauma Surg. 2017 Oct;137(10):1363-1369
pubmed: 28730395
Clin Orthop Relat Res. 2004 Feb;(419):57-64
pubmed: 15021132
J Clin Orthop Trauma. 2013 Jun;4(2):58-69
pubmed: 26403626
J Bone Joint Surg Br. 1998 Sep;80(5):798-804
pubmed: 9768889
J Orthop Trauma. 2015 Mar;29(3):144-50
pubmed: 25072287
BMC Musculoskelet Disord. 2019 Dec 29;20(1):632
pubmed: 31884960
J Orthop Trauma. 2010 Feb;24(2):115-9
pubmed: 20101136
Clin Biomech (Bristol, Avon). 2009 Jan;24(1):59-64
pubmed: 18977058
J Bone Joint Surg Am. 2010 Mar;92(3):619-28
pubmed: 20194320
J Orthop Trauma. 2001 Jun-Jul;15(5):358-60
pubmed: 11433141
J Bone Joint Surg Br. 2005 May;87(5):632-4
pubmed: 15855363
J Bone Joint Surg Br. 1986 May;68(3):387-91
pubmed: 3733802
Injury. 2017 Aug;48 Suppl 2:S44-S49
pubmed: 28802420
J Trauma. 2010 Jan;68(1):236-42
pubmed: 20065780
Osteoporos Int. 2012 Jun;23(6):1711-9
pubmed: 21997224