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논문 기본 정보

자료유형
학술저널
저자정보
Youngho Cho (Department of Orthopaedic Surgery Daegu Fatima Hospital Daegu Korea.) Jaeuk Shin (Department of Orthopaedic Surgery Daegu Fatima Hospital Daegu Korea) Sangwoo Kim (Department of Orthopaedic Surgery Daegu Fatima Hospital Daegu Korea)
저널정보
대한고관절학회 Hip and Pelvis Hip and Pelvis 제35권 제1호
발행연도
2023.3
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47 - 53 (7page)

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Purpose: The purpose of this study is to compare the radiological results of fixation using the femoral neck sys tem (FNS) and cannulated screw (CS) for treatment of femoral neck fractures. Materials and Methods: A retrospective study of patients with femoral neck fractures who underwent internal fixation and had follow-up of more than six months from 2010 to 2020 was conducted. A total of 87 patients were enrolled in the study. The FNS group included 20 patients and the CS group included 67 patients. Classification of fractures was performed according to Garden and Pauwels classification. Operation time, intra operative blood loss, sliding distance of the implant, lateral soft tissue irritation caused by implants, and compli cations were evaluated. Results: The mean operation time was 40.30 minutes in the FNS group and 46.84 minutes in the CS group. The mean intraoperative bleeding volume was 51.25 mL in the FNS group and 72.16 mL in the CS group. Bone union was achieved in 18 patients in the FNS group (90.0%) and in 61 patients in the CS group (91.0%). The mean sliding distance of the implant was 4.06 mm in the FNS group and 3.92 mm in the CS group. No patients in the FNS group and 12 patients in the CS group complained of soft tissue irritation. Conclusion: A shorter operative time, less intraoperative bleeding, and less irritation of soft tissue were observed in the FNS group. FNS could be an alternative to CS for fixation of femoral neck fractures.

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