Zhibo Sun1, Liangbo Jiang1, Rong Chen1, Lin Zhao1, Xiangwei Li2. 1. Department of Traumatic Orthopedics, Renmin Hospital, Hubei University of Medicine, No.39 Chaoyang Road, Maojian, Shiyan, 442000, Hubei, China. 2. Department of Traumatic Orthopedics, Renmin Hospital, Hubei University of Medicine, No.39 Chaoyang Road, Maojian, Shiyan, 442000, Hubei, China. 47403191@163.com.
Abstract
OBJECTIVE: The study aimed to explore the therapeutic effects of direct anterior internal fixation with Herbert screws on hip joint function and quality of life in patients with Pipkin type II femoral head fractures (FHF). METHODS: From Dec 2017 to Jul 2020, 68 patients with Pipkin type II FHF were received in our hospital and divided into two groups. The direct anterior internal fixation (DAIF) group including 34 cases were treated by direct anterior internal fixation with Herbert screws. The control group of 34 patients received modified internal fixation with Herbert screws via posterior superior iliac spine and ectogluteus. The duration time and blood loss in operation as well as the postoperative drainage volume, hospital stays and complications were observed. The comparison of pain degree, hip functions, and life quality between two groups was performed. RESULTS: All the patients were followed up, and the operative time, intraoperative blood loss, postoperative drainage and hospital stay of the DAIF group were all significantly lower than those in the control group, with (p < 0.05, respectively). The pain degree of the DAIF group was significantly lower than that of the control group 7, 15 and 30 days after the operation (p < 0.05, respectively). At 3, 6 and 9 months after the operation, the hip function recovery of the DAIF group was significantly better than control group (p < 0.05). There were no significant differences between the two groups in preoperative physiological function, physiological function, emotional role, physical pain, general health, vitality, social function and mental health (p > 0.05). Six months after the operation, the physiological function, physiological function, emotional role, physical pain, general health, vitality, social function and mental health of the DAIF group were significantly higher than those of the control group (p < 0.05). No postoperative complications occurred in both groups. CONCLUSION: The treatment of directly anterior internal fixation with Herbert screws is effective for Pipkin type II FHF, like improving the function of hip joint and quality of life in patients. The method is reliable and worth clinical use.
RCT Entities:
OBJECTIVE: The study aimed to explore the therapeutic effects of direct anterior internal fixation with Herbert screws on hip joint function and quality of life in patients with Pipkin type II femoral head fractures (FHF). METHODS: From Dec 2017 to Jul 2020, 68 patients with Pipkin type II FHF were received in our hospital and divided into two groups. The direct anterior internal fixation (DAIF) group including 34 cases were treated by direct anterior internal fixation with Herbert screws. The control group of 34 patients received modified internal fixation with Herbert screws via posterior superior iliac spine and ectogluteus. The duration time and blood loss in operation as well as the postoperative drainage volume, hospital stays and complications were observed. The comparison of pain degree, hip functions, and life quality between two groups was performed. RESULTS: All the patients were followed up, and the operative time, intraoperative blood loss, postoperative drainage and hospital stay of the DAIF group were all significantly lower than those in the control group, with (p < 0.05, respectively). The pain degree of the DAIF group was significantly lower than that of the control group 7, 15 and 30 days after the operation (p < 0.05, respectively). At 3, 6 and 9 months after the operation, the hip function recovery of the DAIF group was significantly better than control group (p < 0.05). There were no significant differences between the two groups in preoperative physiological function, physiological function, emotional role, physical pain, general health, vitality, social function and mental health (p > 0.05). Six months after the operation, the physiological function, physiological function, emotional role, physical pain, general health, vitality, social function and mental health of the DAIF group were significantly higher than those of the control group (p < 0.05). No postoperative complications occurred in both groups. CONCLUSION: The treatment of directly anterior internal fixation with Herbert screws is effective for Pipkin type II FHF, like improving the function of hip joint and quality of life in patients. The method is reliable and worth clinical use.
Entities:
Keywords:
Direct anterior internal fixation with Herbert screws; Function of hip joint; Modified internal fixation with Herbert screws via posterior superior iliac spine and ectogluteus; Pipkin type II femoral head fractures; Quality of life
Authors: Qin Li; Fuguo Huang; Zhou Xiang; Yue Fang; Gang Zhong; Min Yi; Xiaodan Zhao; Lei Liu Journal: Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi Date: 2018-03-15
Authors: Hartmuth Nowak; Nina Zech; Sven Asmussen; Tim Rahmel; Michael Tryba; Guenther Oprea; Lisa Grause; Karin Schork; Manuela Moeller; Johannes Loeser; Katharina Gyarmati; Corinna Mittler; Thomas Saller; Alexandra Zagler; Katrin Lutz; Michael Adamzik; Ernil Hansen Journal: BMJ Date: 2020-12-10