Objective: This study intended to investigate the changes in quality of life and joint function after intramedullary nailing fixation in patients with femoral neck fractures.
Methods: A total of 38 patients with femoral neck fractures received surgical treatment from February 2016 to November 2018 were enrolled as study subjects, and were divided into the intramedullary nailing group (IIN group, n=13) and the plate fixation group (PO group, n=25). The efficacy, general surgical indices, postoperative complications, hip function scores and imaging results were compared between the two groups.
Results: The response rate of the IIN group was 100.00%, significantly higher than 72.00% of the PO group (<0.05). The length of hospital stay, blood loss, and the length of the healing period in the IIN group were lower than those in the PO group (<0.05). The incidence of infection, deformity, loosening of internal fixation, and failed internal fixation in the PO group were significantly higher those than in the INN group (<0.05). At 3, 6, and 12 months after surgery, the INN group had higher Harris scores and SF-36 scores than the PO group (<0.05). The response rates of Harris scores of patients in the IIN group were significantly higher than those in the PO group at 12 months postoperatively (<0.05).
Conclusion: Intramedullary nailing fixation in patients with femoral neck fractures has the advantages of a shorter time in bed and better functional recovery, lower incidence of complications and higher long-term joint function with better quality of life.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8581845 | PMC |
Publication Analysis
Top Keywords
Similar Publications
Comparative finite element analysis: internal fixation plate versus intramedullary nail for neer type III-VI proximal humeral fractur.
J Orthop Surg Res
January 2025
Department of Orthopedics, Beijing Chaoyang Hospital, Capital Medical University, 8 Gongren Tiyuchang Nanlu, Chaoyang District, Beijing, 100020, China.
Background: Finite element analysis (FEA) could advance the understanding of fracture fixation and guide the choice of surgical treatment. This study aimed to compare two internal fixation methods in the treatment of displaced proximal humeral fracture (PHF) through FEA.
Methods: Three-dimensional FEA model based on the left shoulder joint of a 67-year-old female patient with PHFs and osteoporosis was adopted, in order to analyze the fixation effect and load stress distribution of internal fixation plates with open reduction and intramedullary nails without opening the fracture in the treatment of Neer III-VI PHF.
Efficacy of the cross-union protocol in the treatment of congenital tibial pseudarthrosis: a comparative study.
BMC Musculoskelet Disord
January 2025
Department of Orthopaedics Surgery, National Children's Medical Center & Children's Hospital of Fudan University, Wanyuan Road 399, Minhang District, Shanghai, 201102, China.
Background: Congenital Pseudarthrosis of the Tibia (CPT) is a rare pediatric condition presenting substantial challenges for orthopedic surgeons. Aiming to achieve bone union, with subsequent complications such as refractures being common. The aim of the present study is to evaluate the results of our intentional cross-union protocol and to compare these outcomes with those obtained from our previously used techniques.
View Article and Find Full Text PDFFunctional Outcome of Subtrochanteric Femoral Fractures Fixation by Proximal Femoral Locking Compression Plate.
Mymensingh Med J
January 2025
Dr Md Sonaullah, Assistant Professor, Department of Orthopedics and Traumatology, Mymensingh Medical College (MMC), Mymensingh, Bangladesh; E-mail:
Subtrochanteric femoral fractures are one of the common fractures encountered in today's Orthopaedic practice. This area consists of mostly cortical bone with high stress generation thus heal slowly which leads implant failure. The inherent instability of this fracture and forces of the muscles with comminuted medial calcar is giving the fracture a tendency to varus collapse.
View Article and Find Full Text PDFA tension system for angular correction of bent intramedullary nails: in vitro analysis.
Eur J Orthop Surg Traumatol
December 2024
Department of Orthopedics and Trauma, Universidade Federal Fluminense (UFF), Niterói, Rio de Janeiro, Brazil.
Purpose: Although several techniques have been described for bent intramedullary nail removal, there is no universally accepted strategy. We hypothesized that a device based on the action principle of a three-point bend fixture could facilitate extraction of bent intramedullary nails; this paper describes its design and experimental testing.
Methods: Five large synthetic left femurs and five steel intramedullary nails were used.
Radioulnar Synostosis after Endomedullary Fixation of the Radius and Ulna in a Patient with Floating Elbow: A Case Report.
Rev Bras Ortop (Sao Paulo)
November 2024
Departamento de Cirurgia Ortopédica, Fundación Clinica Shaio, Bogotá, Colômbia.
Floating elbow is a complex and rare entity caused by high-energy trauma. In this paper, we present the case of a patient who suffered a traffic accident with severe head trauma, floating elbow (humeral diaphyseal fracture, radial proximal diaphyseal fracture, and ulnar segmental fracture) and radial nerve injury. Fixations were made with a humeral plate and intramedullary rods in the forearm.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!