清晨好,您是今天最早来到科研通的研友!由于当前在线用户较少,发布求助请尽量完整的填写文献信息,科研通机器人24小时在线,伴您科研之路漫漫前行!

Posterior fully threaded positioning screw prevents femoral neck collapse in Garden I or II femoral neck fractures

医学 股骨颈 骨合成 射线照相术 固定(群体遗传学) 外科 人口统计学的 口腔正畸科 骨质疏松症 内科学 人口 环境卫生 社会学 人口学
作者
Kyun-Ho Shin,Seok-Ha Hong,Seung-Beom Han
出处
期刊:Injury-international Journal of The Care of The Injured [Elsevier]
卷期号:51 (4): 1031-1037 被引量:21
标识
DOI:10.1016/j.injury.2020.01.032
摘要

Introduction Osteosynthesis is recommended for Garden I and II femoral neck fracture treatment using parallel partially threaded cannulated screws. Postoperatively, excessive femoral neck shortening (FNS) and posterior tilt of the femoral neck (PTFN) are frequently encountered and are correlated with impaired quality of life and clinical outcomes. We hypothesized that stabilization by parallel partially threaded cannulated screws replacing a posterior partially threaded screw with a fully threaded positioning screw would improve fracture healing without further FNS and PTFN in femoral neck fractures. Methods We retrospectively reviewed Garden I and II femoral neck fractures treated by in situ fixation using parallel cannulated screws at our institution between January 2010 and November 2018. Patients with the applicable fractures were divided according to the utilization of posterior fully threaded screws: patients with partially threaded screws were included in Group C and those with posterior fully threaded screws were included in Group P. Intergroup comparisons were performed based on radiographic measurements that assessed the shortening in two vectors (the horizontal and vertical axes), FNS, and subsequent PTFN. Results No significant intergroup difference was found in demographics and fracture characteristics, except in the follow-up duration. The mean FNS and shortening in both vectors were significantly smaller in Group P than in Group C (FNS, 5.02 ± 1.31 vs. 8.84 ± 3.48 mm, p < 0.001; horizontal axis, 4.07 ± 1.06 vs. 6.18 ± 2.77 mm, p < 0.001; and vertical axis, 2.55 ± 1.68 vs. 5.74 ± 3.41 mm, p < 0.001). The mean subsequent PTFN was significantly smaller in Group P (2.21 ± 2.99 vs. 7.56 ± 6.20 mm, p < 0.001). A significantly smaller number of patients in Group P had moderate (5–10 mm) or severe (>10 mm) FNS and moderate (5–10°) or severe (>10°) subsequent PTFN. Conclusion Parallel cannulated screws replacing a posterior partially threaded screw with a fully threaded positioning screw as a length- and angle-stable construct for Garden I or II femoral neck fracture fixation can prevent femoral neck collapse in both the coronal and axial planes.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
SOLOMON应助蚂蚱别跳采纳,获得10
5秒前
54秒前
jasmine完成签到 ,获得积分10
59秒前
uuu发布了新的文献求助10
1分钟前
SOLOMON举报褚青筠求助涉嫌违规
2分钟前
2分钟前
scenery0510完成签到,获得积分10
3分钟前
aniu完成签到 ,获得积分10
3分钟前
3分钟前
uuu关注了科研通微信公众号
3分钟前
uuu发布了新的文献求助10
4分钟前
魏白晴完成签到,获得积分10
4分钟前
4分钟前
研友_LMyozL发布了新的文献求助10
4分钟前
4分钟前
Mike001发布了新的文献求助10
4分钟前
5分钟前
beikeyimeng完成签到 ,获得积分10
5分钟前
褚青筠发布了新的文献求助10
5分钟前
沉沉完成签到 ,获得积分0
5分钟前
Hello应助褚青筠采纳,获得10
5分钟前
6分钟前
所所应助cc采纳,获得10
6分钟前
6分钟前
cc发布了新的文献求助10
6分钟前
7分钟前
7分钟前
7分钟前
8分钟前
SOLOMON举报云儿求助涉嫌违规
8分钟前
研友_LMyozL完成签到,获得积分10
9分钟前
共享精神应助研友_LMyozL采纳,获得10
9分钟前
livialiu发布了新的文献求助10
9分钟前
SOLOMON举报yn求助涉嫌违规
9分钟前
10分钟前
10分钟前
温不胜的破木吉他完成签到,获得积分10
11分钟前
郑雅柔完成签到 ,获得积分10
11分钟前
霸气白曼完成签到 ,获得积分10
11分钟前
12分钟前
高分求助中
Manual of Clinical Microbiology, 4 Volume Set (ASM Books) 13th Edition 1000
Sport in der Antike 800
De arte gymnastica. The art of gymnastics 600
Berns Ziesemer - Maos deutscher Topagent: Wie China die Bundesrepublik eroberte 500
Stephen R. Mackinnon - Chen Hansheng: China’s Last Romantic Revolutionary (2023) 500
Sport in der Antike Hardcover – March 1, 2015 500
Psychological Warfare Operations at Lower Echelons in the Eighth Army, July 1952 – July 1953 400
热门求助领域 (近24小时)
化学 材料科学 医学 生物 有机化学 工程类 生物化学 纳米技术 物理 内科学 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 电极 光电子学 量子力学
热门帖子
关注 科研通微信公众号,转发送积分 2424978
求助须知:如何正确求助?哪些是违规求助? 2112429
关于积分的说明 5350484
捐赠科研通 1839964
什么是DOI,文献DOI怎么找? 915899
版权声明 561327
科研通“疑难数据库(出版商)”最低求助积分说明 489899