Guo Jialiang, Dong Weichong, Jin Lin, Yin Yingchao, Zhang Ruipeng, Hou Zhiyong, Zhang Yingze
Department of Orthopaedic Surgery, the Third Hospital of Hebei Medical University, Shijiazhuang, P R China.
Key Laboratory of Orthopaedic Biomechanics of Hebei Province, Shijiazhuang, P R China.
J Int Med Res. 2019 Sep;47(9):4333-4343. doi: 10.1177/0300060519862957. Epub 2019 Jul 21.
A basicervical femoral neck fracture, which is located at the junction between the femoral neck and intertrochanteric region, is a rare type of fracture. The treatment effects for this type of fracture vary. The present retrospective study was performed to evaluate the clinical and radiological outcomes of proximal femoral nail antirotation and illustrate its effect on improving the clinical prognosis of basicervical femoral neck fractures.
Fourteen patients with two-part basicervical fractures underwent treatment with proximal femoral nail antirotation.
The treatment exhibited a good effect on decreasing complications such as femoral neck shortening and screw protrusion. Improvements were also noted in the Harris hip score and other clinical prognostic factors. The patients were satisfied with the prognosis, although not all of them returned to their preinjury level of occupation or daily activities.
This research provides clinical data to support the treatment of basicervical femoral neck fractures with proximal femoral nail antirotation and contributes to our understanding of treatment selection in the clinical setting. Selection of the optimal fixation method and subsequent conservative rehabilitation plan will benefit patients with basicervical femoral neck fractures.
股骨颈基底部骨折位于股骨颈与转子间区域的交界处，是一种罕见的骨折类型。这种骨折的治疗效果各不相同。本回顾性研究旨在评估股骨近端抗旋髓内钉的临床和影像学结果，并阐明其对改善股骨颈基底部骨折临床预后的作用。
14例两部分股骨颈基底部骨折患者接受了股骨近端抗旋髓内钉治疗。
该治疗在减少股骨颈缩短和螺钉突出等并发症方面显示出良好效果。Harris髋关节评分和其他临床预后因素也有所改善。患者对预后感到满意，尽管并非所有患者都恢复到了受伤前的职业或日常活动水平。
本研究提供了临床数据，支持采用股骨近端抗旋髓内钉治疗股骨颈基底部骨折，并有助于我们在临床环境中理解治疗选择。选择最佳固定方法及后续的保守康复计划将使股骨颈基底部骨折患者受益。
