Comparison of femoral neck system to multiple cancellous screws and dynamic hip screws in the treatment of femoral neck fractures

•Femoral neck system, multiple cancellous screws, and dynamic hip screws are effective for femoral neck fractures.•Femoral neck system is a simpler operation, with earlier weight-bearing time, than multiple cancellous screws.•The main advantage of femoral neck system over dynamic hip screws is a min...

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Bibliographic Details
Published in:Injury 2023-04, Vol.54, p.S28-S35
Main Authors: Xu, Xiangyu, Fan, Jixing, Zhou, Fang, Lv, Yang, Tian, Yun, Ji, Hongquan, Zhang, Zhishan, Guo, Yan, Yang, Zhongwei, Hou, Guojin
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Bone Screws
Dynamic hip screw
Femoral neck fracture
Femoral Neck Fractures - diagnostic imaging
Femoral Neck Fractures - surgery
Femoral neck system
Femur
Femur Neck
Humans
Middle Aged
Multiple cancellous screws
Retrospective Studies
Short-term outcomes
Young Adult
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Summary:•Femoral neck system, multiple cancellous screws, and dynamic hip screws are effective for femoral neck fractures.•Femoral neck system is a simpler operation, with earlier weight-bearing time, than multiple cancellous screws.•The main advantage of femoral neck system over dynamic hip screws is a minimally invasive operation. To compare the short-term outcomes of the femoral neck system (FNS) with multiple cancellous screws (MCS) and dynamic hip screws (DHS) in the treatment of femoral neck fractures. A retrospective analysis was performed on 157 patients with fresh femoral neck fractures treated with FNS (from September 2019 to October 2020), MCS, and DHS (from January 2018 to October 2020). According to internal fixation methods, all patients were divided into the FNS group (54 cases), MCS group (51 cases), and DHS group (52 cases). Demographic data were also collected, recorded, and compared, including the follow-up time, days of hospitalization, operation time, blood loss, intraoperative fluoroscopy times (IFT), weight-bearing time (WBT), length of femoral neck shortening (LFNS), Harris hip score, and complications (such as internal fixation failure, bone nonunion, and avascular necrosis of the femoral head) between the three groups. Overall, 157 patients with a mean age of 61.8 (range, 18–89) years were analyzed. In the FNS group, IFT (median 10.5) was significantly lower than that in the MCS group (median 21) and DHS group (median 20.5) (P
ISSN:0020-1383
1879-0267
DOI:10.1016/j.injury.2022.03.041