Therapeutic effect compared between three cannulated screws and proximal femoral locking plate in treatment of femoral neck fracture
10.3760/cma.j.issn.1673-4904.2013.35.007
- VernacularTitle:股骨颈骨折三枚空心拉力螺钉和股骨近端锁定钢板内固定治疗比较
- Author:
Nan ZHANG
;
Lianghua DING
;
Chenran ZHANG
;
Shuanghua HE
;
Ailiang ZHANG
;
Wenming MA
- Publication Type:Journal Article
- Keywords:
Femoral neck fractures;
Locking plate;
Cannulated screw;
Internal fixation
- From:
Chinese Journal of Postgraduates of Medicine
2013;36(35):20-22
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the therapeutic effect between three cannulated screws and proximal femoral locking plate in treatment of femoral neck fracture.Methods A total of 75 patients were included,the three cannulated screws group contained 31 patients,and the proximal femoral locking plate group contained 44 patients.The clinical healing time,hip function score at last follow-up and postoperative complication were compared.Results All patients were followed up for 13-18 (15.3 ± 3.2) months.The excellent and good rate of proximal femoral locking plate group was 95.5％ (42/44),and three cannulated screws group was 83.9％(26/31),there was no statistical difference between the two groups (P ＞ 0.05).The clinical healing time of fracture and hip function score at last follow-up in proximal femoral locking plate group were significantly better than those in three cannulated screws group [(14.6 ± 1.7) weeks vs.(18.1 ± 4.9) weeks,(90.9 ± 3.5) scores vs.(82.3 ± 8.3) scores],there were statistical differences between the two groups (P ＜ 0.05).Conclusions Proximal femoral locking plate provides short clinical healing time of fracture,stable fixation,good biomechanical properties and a low rate of postoperative complication in treatment of femoral neck fracture.It is one of the ideal methods in treatment of femoral neck fracture.
