For fresh femoral neck fracture internal fixation, both DHS and CCS can make strong fixation of hip and have good recovery. There is no statistical difference in complications after surgery between the two procedures. Patients with DHS internal fixation have earlier postoperative weight bearing, which is conducive to functional exercise of the injured limb. DHS internal fixation system is recommended for patients with unstable fractures and severe osteoporosis.
Objective: To compare the clinical effect of dynamic hip screw (DHS) and cannulated compression screw (CCS) in the treatment of fresh femoral neck fracture. Methods: A retrospective study was conducted to analyze the data of 91 patients with fresh femoral neck fracture treated with DHS or CCS in our hospital from January 2012 to June 2016.The cases were divided into two groups according to internal fixation: 44 cases in the DHS group and 47 cases in the CCS group. By comparing operative time, intraoperative bleeding, postoperative load, Harris scoring and the complications such as postoperative necrosis of femoral head and shortening of femoral neck appearance, we evaluated the clinical curative effect of two kinds of fixation.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
91
Dynamic hip screws (DHS) are a femoral head-sparing orthopedic device used to treat femoral neck fractures.
Cannulated Screw is designed to provide a minimally invasive method of anatomical fixation.
Peking University Third Hospital
Beijing, Beijing Municipality, China
Internal fixation failure rate
defined as the total incidence of internal plant cut-out and fracture.
Time frame: from operation to 1-year follow-up after the surgery
Number of Participants with Bone nonunion
evaluate bone healing according to the lateral X-ray examination. According to the regulations of Food and Drug Administration of the US, if there are no obvious signs of fracture healing 9 months after the fracture, or if there is no obvious difference in fracture space after three consecutive months, it is defined as nonunion.
Time frame: from operation to 1-year follow-up after the surgery
Harris hip score
the score value is from 0 to 100, and a higher score means a better outcome
Time frame: from operation to 1-year follow-up after the surgery
operation time
from the incision to internal fixation implanted
Time frame: intraoperation
The times of intraoperative fluoroscopy
average 25 milliseconds per X-ray shot, record the number of X-ray shot
Time frame: intraoperation
Number of Participants with Postoperative adverse events
including ipsilateral femoral head avascular necrosis, infection, wound hematoma, ipsilateral coxa vara, and ipsilateral limb shortening
Time frame: from operation to 1-year follow-up after the surgery
Garden index
The fracture reduction will be considered unsatisfied if the index is less than 155 degrees or more than 180 degrees.
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Time frame: from operation to 1-year follow-up after the surgery
A 12-Item Short-Form Health Survey (SF-12)
the score value is from 0 to 100, and a higher score means a better outcome
Time frame: from operation to 1-year follow-up after the surgery