当前位置： SCI文献检索 > Scientific Reports期刊下所有文献 > Factors that influence the complications and outcomes of femoral neck fractures treated by cannulated screw fixation.

Factors that influence the complications and outcomes of femoral neck fractures treated by cannulated screw fixation.

Abstract：

:To investigate the influence of various factors on the two outcome parameters "procedure - specific complication" (femoral head necrosis, infection, nonunion, femoral neck shortening, screw loosening, implant penetration) and "functional outcome" in patients with displaced and undisplaced femoral neck fracture treated by cannulated screw fixation. All cases of a femoral neck fracture, operated by cannulated screw fixation, in the period from December 2014 to December 2017 were included. The observation period of the included patients was 12 months. Information on their outcome was collected after evaluation of current x-ray images and on request from the responsible further treatment physician. Continuous data were presented as mean value ± standard deviation, categorical data as absolute and relative frequency. The effect of potential factors on endpoints was estimated with a multivariable logistic regression analysis and 95% confidence intervals calculated. The null hypothesis Odds Ratio = 1 was checked by the Wald test. The likelihood ratio test was used to test for deviation from linearity. The mean age of the 56 included patients was 72 years (36 min, 96 max), 44.5% (n = 25) were male and 55.5% (n = 25) female. The femoral neck fractures were classified as follows: Garden I: 73%, Garden II: 16%, Garden III: 11%, Pauwels I: 73%, Pauwels II: 21%, Pauwels III: 5%, 31-B1: 73%, 31-B2: 27%, 31-B3: 0%. The factor patient age showed a statistically significant influence on the outcome parameter procedure-specific complication. None of the remaining factors examined showed a statistically significant influence on both outcome parameters procedure-specific complication and functional outcome. 69% of the patients from age 80 onwards suffered a procedure-specific complication. A rate of 41% procedure-specific complications as an outcome parameter in trauma surgery shows a necessity for improvement. The increasing risk of procedure-specific complications for patients with a femoral neck fracture treated by cannulated screw fixation is associated with rising patient age. A more stable head-perserving operative method or an endoprosthetic procedure should be considered in high-risk patients (≥80 y.o.).

journal_name

Sci Rep

journal_title

Scientific reports

authors

Ramadanov N,Toma I,Herkner H,Klein R,Behringer W,Matthes G

doi

10.1038/s41598-020-57696-2

subject

Has Abstract

pub_date

2020-01-20 00:00:00

pages

758

issue

issn

2045-2322

pii

10.1038/s41598-020-57696-2

journal_volume

pub_type

杂志文章

在线工具

Factors that influence the complications and outcomes of femoral neck fractures treated by cannulated screw fixation.