Humphrey J A, Jandoo R, Tofighi M, Wiik A, Tindall A
Acta Orthop Belg. 2015 Sep;81(3):358-62.
Displaced stress fractures of the femoral neck in young female athletes are a rare but a difficult injury to treat with a favourable outcome, as there is a reported high incidence of avascular necrosis. Traditionally they are internally fixed with either cannulated screws or a sliding hip screw. Our study aims to highlight the Targon Femoral Neck (FN, B-Braun, Aesculap Inc, Germany) implant as a safe alternative for fixation of these injuries.
Three consecutive young female recreational athletes were reviewed from our institution with a displaced stress fracture of the femoral neck treated with the dynamic locking plate.
Two patients achieved good results with full union and no complications. One patient had a poor result as she developed avascular necrosis 5 months post-operatively requiring revision to a total hip arthroplasty.
Our study highlights the Targon FN implant is a safe alternative for internal fixation of displaced stress fractures of the femoral neck in young female recreational athletes.
年轻女性运动员股骨颈移位应力性骨折虽罕见，但治疗困难且预后良好，因为据报道其缺血性坏死发生率较高。传统上，此类骨折采用空心螺钉或滑动髋螺钉进行内固定。我们的研究旨在强调Targon股骨颈（FN，B - Braun，德国蛇牌公司）植入物是治疗这些损伤的一种安全替代方法。
对我们机构连续3例年轻女性业余运动员股骨颈移位应力性骨折患者进行回顾性研究，这些患者均采用动力锁定钢板治疗。
2例患者取得良好效果，骨折完全愈合且无并发症。1例患者效果不佳，术后5个月发生缺血性坏死，需要翻修为全髋关节置换术。
我们的研究强调，Targon FN植入物是年轻女性业余运动员股骨颈移位应力性骨折内固定的一种安全替代方法。
