Peterborough and Stamford Hospital NHS Foundation Trust, Department of Orthopaedics, Peterborough City Hospital, CBU PO Box 211, Core C, Bretton Gate, Peterborough PE3 9GZ, UK.
Bone Joint J. 2013 Oct;95-B(10):1402-5. doi: 10.1302/0301-620X.95B10.31511.
A consecutive series of 320 patients with an intracapsular fracture of the hip treated with a dynamic locking plate (Targon Femoral Neck (TFN)) were reviewed. All surviving patients were followed for a minimum of two years. During the follow-up period 109 patients died. There were 112 undisplaced fractures, of which three (2.7%) developed nonunion or re-displacement and five (4.5%) developed avascular necrosis of the femoral head. Revision to an arthroplasty was required for five patients (4.5%). A further six patients (5.4%) had elective removal of the plate and screws. There were 208 displaced fractures, of which 32 (15.4%) developed nonunion or re-displacement and 23 (11.1%) developed avascular necrosis. A further four patients (1.9%) developed a secondary fracture around the TFN. Revision to a hip replacement was required for 43 patients (20.7%) patients and a further seven (3.3%) had elective removal of the plate and screws. It is suggested that the stronger distal fixation combined with rotational stability may lead to a reduced incidence of complications related to the healing of the fracture when compared with other contemporary fixation devices but this needs to be confirmed in further studies.
对 320 例髋关节囊内骨折患者进行了连续系列研究，这些患者均采用动力锁定钢板（Targon 股骨颈（TFN））治疗。所有存活患者的随访时间至少为 2 年。随访期间，109 例患者死亡。112 例为无移位骨折，其中 3 例（2.7%）发生骨不连或再移位，5 例（4.5%）发生股骨头缺血性坏死。5 例（4.5%）患者需要进行关节置换翻修。另外 6 例（5.4%）患者行择期钢板和螺钉取出。208 例为移位骨折，其中 32 例（15.4%）发生骨不连或再移位，23 例（11.1%）发生股骨头缺血性坏死。另外 4 例（1.9%）患者在 TFN 周围发生继发性骨折。43 例（20.7%）患者需要进行髋关节置换翻修，另外 7 例（3.3%）患者行择期钢板和螺钉取出。与其他当代固定装置相比，更强的远端固定结合旋转稳定性可能会降低与骨折愈合相关的并发症发生率，但这需要在进一步的研究中得到证实。
