Comparison of femoral neck system and inverted triangle cannulated screws in treatment of femoral neck fractures in young adults
10.3969/j.issn.1009-0754.2025.07.019
- VernacularTitle:股骨颈动力交叉钉系统和空心拉力螺钉治疗青壮年股骨颈骨折的临床疗效比较
- Author:
Zhichao WANG
1
;
Ping GU
;
Ji WANG
;
Xinfei QU
;
Beibei ZHANG
;
Mingming ZHANG
;
Kun ZANG
;
Wei ZHANG
Author Information
1. 266071 山东青岛,海军第九七一医院骨科
- Keywords:
Femoral neck;
Fractures;
Femoral neck system;
Inverted triangle cannulated screws;
Young adults
- From:
Journal of Navy Medicine
2025;46(7):745-750
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effectiveness of femoral neck system(FNS)and inverted triangle cannulated screws(ITCS)in the treatment of femoral neck fractures in young adults.Methods A retrospective study was conducted on 106 young and middle-aged patients who had been surgically treated for femoral neck fracture at our hospital from December 2020 to June 2022.The patients were assigned to FNS group(57 cases)or ITCS group(49 cases)according to the different internal fixations.The operation time,intraoperative fluoroscopy frequency,intraoperative blood loss,extra assisted reduction procedures(Kirschner wire prying reduction or open reduction),hospital stays,healing time,complications,postoperative recovery,and follow-up duration were compared between the two groups.Results The operation time,fluoroscopy frequency,and healing time in the FNS group were less than those in the ITCS group(P<0.001).The shortening degree and length of femoral neck in moderate and severe patients of the FNS group were lower than those of the ITCS group(P<0.001).The Harris score of the FNS group was higher than that of the ITCS group 12 months after surgery(P<0.001).There was no significant difference in intraoperative blood loss,reduction assistance,Garden index,or hospital stays between the two groups(P>0.05).Conclusion FNS is a better choice for internal fixation in patients with femoral neck fractures than ITCS,with faster recovery and less postoperative complications.
