Dynamic Locking Plate versus Multiple Cancellous Screws for the Fixation of Intracapsular Femoral Neck Fractures: Long-Term Results and Quality-Of-Life Assessment Based on Patient-Reported Outcome Measures

被引:1
|
作者
Krupik, Yoav [1 ]
Haziza, Sagie [2 ]
Thein, Ran [1 ]
机构
[1] Tel Aviv Univ, Tel Hashomer & Sackler Fac Med, Chaim Sheba Med Ctr, Dept Orthoped Surg, IL-5265601 Tel Aviv, Israel
[2] Univ Hosp, Rutgers New Jersey Med Sch, Dept Orthoped Surg, Newark, NJ 07103 USA
关键词
hip fracture; internal fixation; unstable intracapsular fracture; PROMs; INTERNAL-FIXATION; CANNULATED SCREWS; HIP FRACTURE; TARGON FN; HEMIARTHROPLASTY; OSTEOSYNTHESIS; DEVICES; CHOICE;
D O I
10.3390/jcm13041123
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The purpose of this study was to compare the long-term clinical outcomes and quality-of-life measures for two fixation methods in the setting of displaced femoral neck fractures. The two groups included fixation with multiple cancellous screws (group 1) and telescopic femoral neck screws and a small locking plate device (Targon FN) (group 2). Patients underwent reduction and internal fixation with either multiple cancellous screws or the Targon FN device from March 2000 to January 2012. Failure endpoints included nonunion, osteonecrosis of the femoral head, and revision surgery. Patient-reported outcome measures included chronic pain, ability to ambulate, and the use of ambulation assistive devices. Statistical analysis demonstrated a statistically significant lower rate of non-union and overall complication in the Targon FN group (p value < 0.001 and p value = 0.005, respectively). Logistic regression analysis showed that operative fixation with the Targon FN device decreased the odds ratio for overall complication by a factor of 0.34 (p = 0.02). There were no statistically significant differences between groups 1 and 2 in patient-reported outcomes (chronic pain (p = 0.21), ability to ambulate (p = 0.07), and the use of an ambulation assistive device (p = 0.07)). When compared to traditional cancellous screw fixation of femoral neck fractures, the Targon FN device has significantly lower complication rates and equivalent patient-reported outcomes.
引用
收藏
页数:10
相关论文
共 4 条
  • [1] Long-Term Matched Comparison of Adjustable Gastric Banding Versus Sleeve Gastrectomy: Weight Loss, Quality of Life, Hospital Resource Use and Patient-Reported Outcome Measures
    Yazmin Johari
    Geraldine Ooi
    Paul Burton
    Cheryl Laurie
    Shourye Dwivedi
    YunFei Qiu
    Richard Chen
    Damien Loh
    Peter Nottle
    Wendy Brown
    Obesity Surgery, 2020, 30 : 214 - 223
  • [2] Long-Term Matched Comparison of Adjustable Gastric Banding Versus Sleeve Gastrectomy: Weight Loss, Quality of Life, Hospital Resource Use and Patient-Reported Outcome Measures
    Johari, Yazmin
    Ooi, Geraldine
    Burton, Paul
    Laurie, Cheryl
    Dwivedi, Shourye
    Qiu, YunFei
    Chen, Richard
    Loh, Damien
    Nottle, Peter
    Brown, Wendy
    OBESITY SURGERY, 2020, 30 (01) : 214 - 223
  • [3] Single-item discrimination of quality-of-life-altering dysphagia among 714 long-term oropharyngeal cancer survivors: Comparison of patient-reported outcome measures of swallowing
    Grant, Stephen
    Kamal, Mona
    Mohamed, Abdallah S. R.
    Zaveri, Jhankruti
    Barrow, Martha P.
    Gunn, G. Brandon
    Lai, Stephen Y.
    Lewin, Jan S.
    Rosenthal, David, I
    Wang, Xin Shelley
    Fuller, Clifton D.
    Hutcheson, Katherine A.
    CANCER, 2019, 125 (10) : 1654 - 1664
  • [4] Electronic Patient-Reported Outcome-Based Symptom Management Versus Usual Care After Lung Cancer Surgery: Long-Term Results of a Multicenter, Randomized, Controlled Trial
    Dai, Wei
    Wang, Yaqin
    Liao, Jia
    Wei, Xing
    Dai, Zhen
    Xu, Wei
    Liu, Yangjun
    Wang, Xin Shelley
    Pompili, Cecilia
    Yu, Hongfan
    Pu, Yang
    Zhao, Yuqian
    Cao, Bangrong
    Wang, Qifeng
    Feng, Wenhong
    Zhang, Yuanqiang
    Liu, Fang
    Deng, Yuanle
    Zhou, Jin
    Li, Juan
    Xie, Shaohua
    Xiang, Run
    Wang, Xiang
    Tian, Bo
    Yang, Xiaozun
    Hu, Bin
    Liu, Xiaoqin
    Xie, Tianpeng
    Yang, Xiaojun
    Zhuang, Xiang
    Qiao, Guibin
    Li, Qiang
    Shi, Qiuling
    JOURNAL OF CLINICAL ONCOLOGY, 2024, 42 (18) : 2126 - 2131