Takigawa Naohide, Yasui Kenji, Eshiro Hisako, Moriuchi Hiromitsu, Abe Muneki, Tsujinaka Seiya, Kinoshita Mitsuo
Department of Orthopedic surgery, Nishinomiya Kyoritsu Neurosurgical Hospital, 11-1, Imazuyamanaka-Cho, Nishinomiya, Hyogo, 663-8211, Japan.
Department of Orthopedic surgery, Nishinomiya Kyoritsu Neurosurgical Hospital, 11-1, Imazuyamanaka-Cho, Nishinomiya, Hyogo, 663-8211, Japan.
Injury. 2016 Dec;47 Suppl 7:S44-S48. doi: 10.1016/S0020-1383(16)30854-3.
84 cases (male 15 cases, female 69 cases) of intracapsular femoral neck fractures treated with the Targon FN (TFN) were available for review. Mean patient age was 74.0 years (range 36-100 years). 55 fractures were undisplaced whereas 29 were displaced. Mean follow-up term was 16.4 months. We surveyed patient mobility before injury and after operation as well as postoperative complications. On a four-stage mobility scale we found 3/55 patients with undisplaced fractures loosing mobility by more than one grade (5.5%), whereas 5/29 (17.2%) displayed this kind of functional decline after displaced fractures. Overall postoperative complication rate was 10.7% (9 cases). These complications included nonunion (1 case), avascular necrosis (7 cases) and peri-implant fracture (1case). Internal fixation with the TFN seems to have an acceptable complication rate in both undisplaced and displaced fractures compared to other recent studies.
对84例采用Targon FN（TFN）治疗的股骨颈囊内骨折患者（男性15例，女性69例）进行回顾性分析。患者平均年龄为74.0岁（范围36 - 100岁）。55例骨折无移位，29例骨折有移位。平均随访时间为16.4个月。我们调查了患者受伤前和术后的活动能力以及术后并发症。在四级活动量表上，我们发现55例无移位骨折中有3例（5.5%）活动能力下降超过一个等级，而29例有移位骨折中有5例（17.2%）出现了这种功能下降。术后总体并发症发生率为10.7%（9例）。这些并发症包括骨不连（1例）、股骨头缺血性坏死（7例）和植入物周围骨折（1例）。与其他近期研究相比，TFN内固定在无移位和有移位骨折中似乎都有可接受的并发症发生率。
