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The femoral neck fracture is the most prevalent injuries which commonly encountered among older people with high mortality, morbidity and young fit healthy ones who subjected to high-energy trauma . Non-union or avascular necrosis of femoral neck fracture which lead to loss of labor capacity and death, is the most commonly occurred complication and results in considerable burden for family. The treatment is difficult and challenging, and to minimize the negative results such as limited mobilization or other complications, it is essential to take active prevention and appropriate treatment depending on fracture pattern and patients' characteristics as early as possible. However, current implant selections for femoral neck fractures remain a topic of greater interest and controversy, and vary substantially from each other .
The incidence of femoral neck fracture accounts for 3.6% of all fractures, is the most prevalent injuries which commonly encountered among older people with high mortality, morbidity and young fit healthy ones who subjected to high-energy trauma . Non-union or avascular necrosis of femoral neck fracture which lead to loss of labor capacity and death, is the most commonly occurred complication and results in considerable burden for family. The treatment is difficult and challenging, and to minimize the negative results such as limited mobilization or other complications, it is essential to take active prevention and appropriate treatment depending on fracture pattern and patients' characteristics as early as possible. However, current implant selections for femoral neck fractures remain a topic of greater interest and controversy, and vary substantially from each other depending on the extent of displacement, fracture configuration, physiological age of the patient, bone quality or other relative factors. Nonoperative management is considered only when patients are seriously ill or presented with excessive surgical risk.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| three screws fixation | Experimental | femoral neck fractures were fixed with three converted screws |
|
| four screws fixation | Experimental | femoral neck fractures were fixed with four screws |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| fixation | Procedure | treated with different fixation method |
|
| Measure | Description | Time Frame |
|---|---|---|
| outcome measure were evaluated by femoral neck shortening with X rays | femoral neck shortening after 1 year with radiology measure, | up to 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| nonunion | the number of nonunion at the end of follow up in patients | up to 12 months |
| screw-exit | screw-exit afer 1 year with X rays in all patients |
| Measure | Description | Time Frame |
|---|---|---|
| operative time in every patient | outcome measure were evaluated by operative time | intraoperation |
| fluoroscopy time intraoperatively | outcome measure were evaluated by operative time and fluroscopy time |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Zhang Yingze | Contact | 18533112888 | dryzzhang@126.com | |
| Hou Zhiyong | Contact | 18533112800 | drzyhou@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| zhiyong Hou, MD | Hebei Medical University Third Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| the Third Hospital of Hebei Medical University | Recruiting | Shijiazhuang | Hebei | 050000 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30526163 | Derived | Guo J, Dong W, Yin B, Jin L, Lin Z, Hou Z, Zhang Y. Intramedullary nails with cannulated screw fixation for the treatment of unstable femoral neck fractures. J Int Med Res. 2019 Feb;47(2):557-568. doi: 10.1177/0300060518816185. Epub 2018 Dec 11. |
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the data should be allowed by Zhang Yingze
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| ID | Term |
|---|---|
| D005265 | Femoral Neck Fractures |
| ID | Term |
|---|---|
| D006620 | Hip Fractures |
| D005264 | Femoral Fractures |
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
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| up to 12 months |
| cut-out | cut-out of the screw evaluating with x rays in all patients | up t 12 months |
| intraoperation |
| D025981 |
| Hip Injuries |
| D007869 | Leg Injuries |