Closed Reduction and Hollow Screw Fixation with Attachment Point of Gluteus Maximus as Reference Mark for the Treatment of Femoral Neck Fracture

Chao X1,2#, Wei W1,3#, Li-Qiang Z1, Jian-Bing MA1, Zhao-Yang W1,4, Zhong Q1* and Jiu-Min Y5*

1Department of Joint Surgery, Honghui Hospital, Xi’an Jiaotong University Health Science Center, China
2Department of Health Statistics, The Air Force Military Medical University, China
3Department of Orthopedics, Xijing Hospital, The Airforce Military Medical University, China
4The First Clinical Medical College, Shaanxi University of Chinese Medicine, China
5Department of Anesthesia, Honghui Hospital, Xi’an Jiaotong University Health Science Center, China
#These authors contributed equally to this work

^*Correspondance to: Qing Zhong 

 PDF  Full Text DOI: 10.25107/2474-1647.3580

Abstract

Background: Femoral neck fractures are commonly encountered in orthopedic practice, and internal fixation with hollow screw is the mainly choice for surgical treatment. How to accurately insert a guide pin and hollow screw is a topical issue for research. Methods: A retrospective analysis was performed on 120 cases of femoral neck fracture treated by closed reduction and hollow screw fixation. In observation group, hollow screws were inserted using the attachment point of gluteus maximus as reference, while the control group used traditional insertion protocol. Operation time, the number of adjustments for the first guide pin and the frequency of intraoperative perspective were recorded to make comparisons between the two groups. Results: The operation time of the observation group was significantly shorter than that of the control group, and the number of adjustments for the first guide pin and the frequency of intraoperative perspective was significantly less than that of the control group (P<0.001). All cases were followed up for an average of 27.81 months. Postoperative radiographs showed good reduction for fracture and bone union in all patients, with an average healing time of 14.59 weeks. There was no significant difference between the prognosis of the two groups. Conclusion: Using the attachment point of gluteus maximus as reference can provide an accurate location for hollow screw and shorten the operation time, reduce the number of guide pin adjustments and the frequency of intraoperative perspective, which has high clinical practical value.

Keywords

Cite the article

Chao X, Wei W, Li-Qiang Z, Jian-Bing MA, Zhao-Yang W, Zhong Q, et al. Closed Reduction and Hollow Screw Fixation with Attachment Point of Gluteus Maximus as Reference Mark for the Treatment of Femoral Neck Fracture. Clin Surg. 2022; 7: 3580..