[Comparison of femoral neck system and inverted triangle cannulated screws fixations in treatment of Pauwels typle <b>Ⅲ</b> femoral neck fractures].
Jiazhao Yang, Xuefeng Zhou, Li Li, Lei Xu, Wanbo Zhu, Xu Wei, Rui Xia, Xujin Wang, Gang Wang, Xingyi Hua, Xinzhong Xu, Shiyuan Fang
Abstract
OBJECTIVE: To compare the effectiveness of the femoral neck system (FNS) and inverted triangle cannulated screws (ITCS) for the treatment of Pauwels type Ⅲ femoral neck fractures. METHODS: >0.05). The operation time, incision length, intraoperative blood loss, extra assisted reduction procedures (Kirschner wire prying reduction or open reduction), hospitalization stay, and early complications were recorded and compared between the two groups. Garden index and Haidukewych score were used to evaluate fracture reduction. Fracture healing time, lateral thigh irritation, time of partial or total weight-bearing postoperatively, shortening length and degree of femoral neck, change of caput-collum-diaphysis (CCD) angle (the difference of CCD angle between immediate after operation and last follow-up), incidence of osteonecrosis of femoral head and revision surgery were recorded and compared between the two groups. Hip joint function were evaluated by Harris score. RESULTS: =0.114). CONCLUSION: Using FNS to treat Pauwels type Ⅲ femoral neck fracture is simple as well as able to reduce the shortening of the femoral neck and the change of the CCD angle. Also, FNS is conducive to the recovery of hip joint function, which should be considered as a new choice for the treatment of young femoral neck fracture patients.