Effect of Hollow Compressing Screwfor Senile Osteoporotic Femoral Neck Fractures : An Observation of 28 Cases
- VernacularTitle:应用空心加压螺纹钉治疗老年骨质疏松性股骨颈骨折28例临床总结
- Publication Type:Journal Article
- Keywords: HOLLOWCOMPRESSINGSCREW; FEMORAL NECKFRACTURES; OSTEOPOROSIS; FRACTURE FIXATION,INTERNAL; AGED
- From: Journal of Guangzhou University of Traditional Chinese Medicine 2004;0(06):-
- CountryChina
- Language:Chinese
- Abstract: 【Objective】To assess the therapeutic effect of hollowcompressing screwfor senile osteoporotic femoral neckfractures andto explore the indications.【Methods】Aretrospective analysis was carried out in 28 patients with senileosteoporotic femoral neckfractures.The results of Gardenclassificationof 28 patients withfemoral neckfractures were asfollows: 5 patients being Garden Ⅰ,7 Garden Ⅱand 16 Garden Ⅲ.After the complications of 28 patients wererelieved,closed reduction combined with percutaneous hollowcompressing screwinternal fixation was performed.Andetiologic treatment with herbal medicine ofGukangDecoction was given to the patients after operation.【Results】Nodead case was found during the hospitalization.The result of mean 2.5-year follow-up showed that short-termcomplications occurredin 3 cases,long-termcomplications occurred in 3,the healing time of fracture ranged 4.5 to12.5 months with an average of 6.8 months,andthe excellent rate arrived 89.3 %assessed by Harris scoring criteria.The function of most hips was recovered,which ensured the accomplishment of activity of daily life in the patients.【Conclusion】Hollowcompressing screwfor senile osteoporotic femoral neckfracture has the advantages of less operativewound,easy operation,firmfixation,higher fracture-healing rate,early functional exercise and less complications.Andthe indications are : senile osteoporotic femoral neckfracture of Garden Ⅰand Garden Ⅱ,and the complicationsbeingrelieved.