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股骨颈系统与三枚螺钉固定在股骨颈骨折治疗中的效果相当。

Comparable results for the Femoral Neck System and three-screw fixation in femoral neck fracture treatment.

作者信息

Honkanen Jukka, Forsbacka Nora, Strengell Ida, Laaksonen Inari, Mäkelä Keijo, Koivisto Mari, Huovinen Ville, Ekman Elina

机构信息

University of Turku, Turku, Finland.

The Wellbeing Services County of Ostrobothnia, Vaasa, Finland.

出版信息

OTA Int. 2024 Dec 27;8(1):e351. doi: 10.1097/OI9.0000000000000351. eCollection 2025 Mar.

DOI:10.1097/OI9.0000000000000351
PMID:39737137
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11684558/
Abstract

OBJECTIVES

To report outcomes of femoral neck fractures (FNFs) treated with Femoral Neck System (FNS) and to compare the risks of later conversion to arthroplasty for FNS and fixation with cannulated screws (CNSs).

DESIGN

A retrospective study.

SETTING

A single-center study (Turku University Hospital, Finland).

PATIENTS

Data on 51 patients with FNFs treated with FNS between January 1, 2019, and May 31, 2021, were retrospectively reviewed. In addition, data on 301 patients treated with cannulated screws were collected and analyzed in a previous study.

INTERVENTION

Patients with FNFs underwent osteosynthesis with FNS.

MAIN OUTCOME MEASUREMENTS

Patients' preoperative and postoperative radiographs were analyzed and measured to determine preoperative displacement, preoperative posterior tilt, and quality of reduction. Later conversion to arthroplasty and other reoperations were recorded. The risk of later conversion to arthroplasty was compared between the FNS group and CNS group.

RESULTS

The overall reoperation rate in the FNS group was 20%, and 16% of the patients treated with FNS underwent later conversion to arthroplasty. In the multivariate analysis, age, sex, and fracture displacement were not associated with increased risk of later conversion to arthroplasty. In comparison with fixation with cannulated screws, there was no statistically significant difference in the probability of later conversion to arthroplasty between the groups.

CONCLUSION

FNS seems to have a comparable reoperation rate and conversion-to-arthroplasty rate compared with the gold standard treatment.

LEVEL OF EVIDENCE

III.

摘要

目的

报告采用股骨颈系统（FNS）治疗股骨颈骨折（FNF）的结果，并比较FNS与空心钉内固定（CNS）后行关节置换术的风险。

设计

一项回顾性研究。

研究地点

单中心研究（芬兰图尔库大学医院）。

患者

回顾性分析2019年1月1日至2021年5月31日期间51例采用FNS治疗的FNF患者的数据。此外，还收集并分析了之前一项研究中301例采用空心钉治疗的患者的数据。

干预措施

FNF患者接受FNS内固定术。

主要观察指标

分析并测量患者术前和术后的X线片，以确定术前移位、术前后倾和复位质量。记录后期行关节置换术及其他再次手术的情况。比较FNS组和CNS组后期行关节置换术的风险。

结果

FNS组的总体再次手术率为20%，16%接受FNS治疗的患者后期行关节置换术。多因素分析显示，年龄、性别和骨折移位与后期行关节置换术风险增加无关。与空心钉内固定相比，两组后期行关节置换术的概率无统计学差异。

结论

与金标准治疗相比，FNS的再次手术率和关节置换转化率似乎相当。

证据级别

Ⅲ级。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a24/11684558/f1e6f53b3acf/oi9-8-e351-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a24/11684558/56c7b6967aab/oi9-8-e351-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a24/11684558/f1e6f53b3acf/oi9-8-e351-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a24/11684558/56c7b6967aab/oi9-8-e351-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a24/11684558/f1e6f53b3acf/oi9-8-e351-g002.jpg

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Arch Orthop Trauma Surg. 2023 Jul;143(7):4155-4164. doi: 10.1007/s00402-022-04686-w. Epub 2022 Dec 2.
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Does the femoral neck system provide better outcomes compared to cannulated screws fixation for the management of femoral neck fracture in young adults? A systematic review of literature and meta-analysis.对于年轻成年人股骨颈骨折的治疗，与空心钉内固定相比，股骨颈系统是否能带来更好的治疗效果？一项文献系统综述与荟萃分析。
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First clinical results of 1-year follow-up of the femoral neck system for internal fixation of femoral neck fractures.股骨颈系统治疗股骨颈骨折内固定 1 年随访的初步临床结果。
Arch Orthop Trauma Surg. 2022 Dec;142(12):3755-3763. doi: 10.1007/s00402-021-04216-0. Epub 2021 Nov 3.
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Femoral neck system versus inverted cannulated cancellous screw for the treatment of femoral neck fractures in adults: a preliminary comparative study.股骨颈系统与倒置空心松质骨螺钉治疗成人股骨颈骨折的初步对比研究。
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