Yoshiya Nibe1, Tomohiro Matsumura2, Tsuneari Takahashi3, Tatsuya Kubo1, Yuta Matsumoto1, Katsushi Takeshita1. 1. Department of Orthopaedic Surgery, School of Medicine, Jichi Medical University, Shimotsuke, Japan. 2. Department of Orthopaedic Surgery, School of Medicine, Jichi Medical University, Shimotsuke, Japan. Electronic address: tomohiro616@jichi.ac.jp. 3. Department of Orthopaedic Surgery, School of Medicine, Jichi Medical University, Shimotsuke, Japan. Electronic address: tsuneari9@jichi.ac.jp.
Abstract
BACKGROUND: Femoral neck system (FNS) is an implant for patients with femoral neck fracture. It has superior angular and rotatory stability; it is less invasive because of its established locking plate system. To the best of our knowledge, there are no studies yet concerning the clinical outcomes of elderly patients with femoral neck fracture who have been treated using the FNS. METHODS: Data of patients with femoral neck fracture aged >65 years and who had undergone internal fixation with the FNS and other implants were retrospectively analyzed in this study. The follow-up period was a minimum of six months between January 2006 and November 2020. In total, 52 patients were included in the clinical evaluations, using the FNS (group F) was 25 and using other implants (group O) was 27. Outcome measurements were surgical time, the amount of blood loss, union rate and the cases that underwent reoperation. RESULTS: The average surgical time in the group F was 42 ± 13 min (range: 26-83 min) and was shorter than that in the group O (53 ± 21 min, range: 13-111 min, P = 0.032). The average blood loss in the group F was calculated to 36 ± 25 g (range: 0-91 g), while it was 41 ± 40 g (range: 0-169 g) in group O. No significant difference among the groups. The union rate of the group F was 100%, and the reoperation rate of the group F was significantly less than that of the group O (0% vs 22%, P = 0.023). CONCLUSION: Internal fixation using the FNS can be an alternative option with shorter surgical time and lower reoperation rate for elderly patients with femoral neck fracture.
BACKGROUND: Femoral neck system (FNS) is an implant for patients with femoral neck fracture. It has superior angular and rotatory stability; it is less invasive because of its established locking plate system. To the best of our knowledge, there are no studies yet concerning the clinical outcomes of elderly patients with femoral neck fracture who have been treated using the FNS. METHODS: Data of patients with femoral neck fracture aged >65 years and who had undergone internal fixation with the FNS and other implants were retrospectively analyzed in this study. The follow-up period was a minimum of six months between January 2006 and November 2020. In total, 52 patients were included in the clinical evaluations, using the FNS (group F) was 25 and using other implants (group O) was 27. Outcome measurements were surgical time, the amount of blood loss, union rate and the cases that underwent reoperation. RESULTS: The average surgical time in the group F was 42 ± 13 min (range: 26-83 min) and was shorter than that in the group O (53 ± 21 min, range: 13-111 min, P = 0.032). The average blood loss in the group F was calculated to 36 ± 25 g (range: 0-91 g), while it was 41 ± 40 g (range: 0-169 g) in group O. No significant difference among the groups. The union rate of the group F was 100%, and the reoperation rate of the group F was significantly less than that of the group O (0% vs 22%, P = 0.023). CONCLUSION: Internal fixation using the FNS can be an alternative option with shorter surgical time and lower reoperation rate for elderly patients with femoral neck fracture.
Authors: Megan R Hsu; Henry T Shu; Kitchai Luksameearunothai; Adam Margalit; Andrew T Yu; Erik A Hasenboehler; Babar Shafiq Journal: J Orthop Date: 2022-02-16