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European Journal of Trauma and Emergency Surgery

Erschienen in:

15.03.2022 | Original Article

The effect of anteromedial support plate with three cannulated screws in the treatment of Pauwels type III femoral neck fracture in young adults

verfasst von: Shanghui Lin, Jinmei Li, Renkai Wang, Yongliang Ou, Zhenyu Jia, Ying Zhang, Hong Xia, Baofeng Li, Bei Chen

Erschienen in: European Journal of Trauma and Emergency Surgery | Ausgabe 5/2022

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Abstract

Purpose

This study is aimed to evaluate the clinical effects of anteromedial support plate combined with three cannulated screws on Pauwels type III femoral neck fractures in young adults.

Methods

We conducted a retrospective study of 27 patients with Pauwels type III femoral neck fracture treated by anteromedial support plate combined with three cannulated screws. The results of fracture healing and complications for all patients were assessed by postoperative imaging examination. The Harris hip score was used to evaluate the functional outcome of the hip at the last follow-up.

Results

The fracture union was achieved in 25 patients (92.6%). However, two patients required reoperation (two for nonunion). Early implant failure occurred in one patient, neck shortening in one patient and coxa vara in one patient. The excellent or good outcome of the Harris hip score was 96% for the 25 patients with satisfactory fracture union.

Conclusion

Our preliminary results indicate that anteromedial support plate combined with three cannulated screws is a good alternative in the treatment of Pauwels type III femoral neck fractures in young adults with high union rate and low incidence of complications including nonunion and avascular necrosis of the femoral head.

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Titel: The effect of anteromedial support plate with three cannulated screws in the treatment of Pauwels type III femoral neck fracture in young adults
verfasst von: Shanghui Lin
Jinmei Li
Renkai Wang
Yongliang Ou
Zhenyu Jia
Ying Zhang
Hong Xia
Baofeng Li
Bei Chen
Publikationsdatum: 15.03.2022
Verlag: Springer Berlin Heidelberg
Erschienen in: European Journal of Trauma and Emergency Surgery / Ausgabe 5/2022
Print ISSN: 1863-9933
Elektronische ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-022-01931-0

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The effect of anteromedial support plate with three cannulated screws in the treatment of Pauwels type III femoral neck fracture in young adults

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Purpose

Methods

Results

Conclusion

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Springer Medizin

Abstract

Purpose

Methods

Results

Conclusion

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