Cannulated screws fixation for nondisplaced femoral neck fractures: early versus late weight-bearing—a prospective analysis
- 22.05.2024
- Original Article
Erschienen in:
- Verfasst von
- Donato Carola
- Giuliano Lattanzi
- Letizia Senesi
- Daniele Massetti
- Antonio Pompilio Gigante
- Raffaele Pascarella
- Simone Cerbasi
- Erschienen in
- European Journal of Orthopaedic Surgery & Traumatology | Ausgabe 5/2024
Abstract
Purpose
Nondisplaced intracapsular fractures (Garden I/II) are predominantly treated with an internal fixation technique. The purpose of the study is to identify the best rehabilitation protocol after internal fixation with 3 parallel cannulated screws.
Methods
All patients operated on from 2016 to 2021 for femoral neck fractures by internal fixation with 3 cannulated screws were enrolled into this prospective study. The population was divided into two groups: Group A (n = 34) who followed a postoperative rehabilitation protocol involving full and immediate loading, and Group B (n = 22) who followed a postoperative rehabilitation protocol involving late full loading (after 30 days).
The two groups were compared with each other by mortality rate, postoperative complications and need for re-interventions. Functional outcome and quality of life were assessed at the minimum follow-up of 1 year using the modified Harris Hip Score (HHS) and the Short form health survey (SF-12) questionnaire.
Results
Group A showed a lower complication rate (2.9% vs. 18.2%), a lower 1-year mortality rate (5.9% vs. 9.1%), a better perception of mental health status (SF12-MCS 56.2 vs. 51.4, p = 0.03) but a worse perception of one's physical health status (SF12-PCS 48.1 vs. 56.7, p < 0.01). The two groups were also statistically overlapping in terms of the functional outcome achieved after the intervention (HHS was 90.94 in Group A vs. 93.15 in Group B, p = 0.32).
Conclusion
Postoperative complications, mortality and revision rate were higher in patients who followed a late-loaded rather than early loaded rehabilitation protocol. Functional outcome at 1-year survival is not significantly different.
In nondisplaced intracapsular hip fractures treated with cannulated screws, an immediate full load should be preferred. Query
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- Titel
- Cannulated screws fixation for nondisplaced femoral neck fractures: early versus late weight-bearing—a prospective analysis
- Verfasst von
-
Donato Carola
Giuliano Lattanzi
Letizia Senesi
Daniele Massetti
Antonio Pompilio Gigante
Raffaele Pascarella
Simone Cerbasi
- Publikationsdatum
- 22.05.2024
- Verlag
- Springer Paris
- Erschienen in
-
European Journal of Orthopaedic Surgery & Traumatology / Ausgabe 5/2024
Print ISSN: 1633-8065
Elektronische ISSN: 1432-1068 - DOI
- https://doi.org/10.1007/s00590-024-04004-7
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