Experience in Treatment of Femoral Neck Fractures by means of the Cannulated Screws

M. Shpakovskiy; V. Kalashnikov; N. Gribanov; Konstantin Kazanin; A. Basov

doi:10.12737/9075

EXPERIENCE IN TREATMENT OF FEMORAL NECK FRACTURES BY MEANS OF THE CANNULATED SCREWS Experience in Treatment of Femoral Neck Fractures by means of the Cannulated Screws

АА Аа

Published in Journal of New Medical Technologies · Volume 22, Issue 1 · Pages 46–50 · Rubric: Clinical Picture and Methods of Treatment. Functional and Instrumental Diagnostics. New Medicinal Forms

DOI: https://doi.org/10.12737/9075

Received: 13.03.2015 Accepted: 13.03.2015 Published: 13.03.2015 Language of publication: RUS

Authors

M. Shpakovskiy

V. Kalashnikov

N. Gribanov

Konstantin Kazanin

et al.

A. Basov

M. Shpakovskiy

V. Kalashnikov

N. Gribanov

Konstantin Kazanin

A. Basov

ABSTRACT

The purpose of this research was to study long-term results of osteosynthesis of femoral neck treatment by means of the cannulated screw and to assess the degree of shortening of the femoral neck and its effect on functional outcome. Materials and methods. Minimally invasive osteosynthesis by means of the cannulated screws was carried out in 119 patients with fractures of the femoral neck. The long-term results in 112 (94.1%) patients after osteosynthesis in terms of 1 to 3 years after surgery were analyzed. Results and discussion. Fusion of fracture was noted in 89 (79,4%) cases, non-fusion – in 23 (20,6%) cases. It was es-tablished the dependence of the remote functional outcome from the degree of shortening of the femoral neck. In the presence of shortening of the femoral neck of more than 4 mm of excellent and good results were decreased considera-bly. The dependence of the distant functional results age of the patients was identified. The average age of patients with poor outcome was 77,3 years, with satisfactory – 67,7 years, with a good – 64,1 years, with excellent – 55,9 years. The dependence of the remote functional outcome from the type of fracture according to Pauwels and Garden was determined. Positive results were obtained in fractures type Pauwels I-II, Garden I-II, i.e. at the support fractures and the fractures with little displacement of bone fragments. Conclusions. Minimally invasive osteosynthesis by means of the cannulated screw allows to achieve coalescence fracture in 79,4% of cases, so it may be one of the methods of choice for femoral neck fractures, but can also lead to shortening of the femoral neck.

KEYWORDS

fracture, femoral neck, osteosynthesis, cannulated screws

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GOST

Shpakovskiy M., Kalashnikov V., Gribanov N., Kazanin K., Basov A. Experience in Treatment of Femoral Neck Fractures by means of the Cannulated Screws // Journal of New Medical Technologies. 2015. no. 1. pp. 46-50. DOI: https://doi.org/10.12737/9075. (Date of access 01.10.2026).

MLA

M. Shpakovskiy, Kalashnikov V., Gribanov N., Kazanin K., Basov A.. "Experience in Treatment of Femoral Neck Fractures by means of the Cannulated Screws." Journal of New Medical Technologies 22.1 (2015): 46-50. DOI: https://doi.org/10.12737/9075.

APA

Shpakovskiy M., Kalashnikov V., Gribanov N., Kazanin K., Basov A. (2015). Experience in Treatment of Femoral Neck Fractures by means of the Cannulated Screws. Journal of New Medical Technologies, 22(1), 46-50. https://doi.org/10.12737/9075

Chicago

M. Shpakovskiy, Kalashnikov V., Gribanov N., Kazanin K., Basov A.. "Experience in Treatment of Femoral Neck Fractures by means of the Cannulated Screws." Journal of New Medical Technologies 22, no. 1 (2015): 46-50. https://doi.org/10.12737/9075.

WIKI

{{cite journal | author = Shpakovskiy M., Kalashnikov V., Gribanov N., Kazanin K., Basov A. | title = Experience in Treatment of Femoral Neck Fractures by means of the Cannulated Screws | journal = Journal of New Medical Technologies | year = 2015 | volume = 22 | issue = 1 | pages = 46-50 | doi = 10.12737/9075 }}

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EXPERIENCE IN TREATMENT OF FEMORAL NECK FRACTURES BY MEANS OF THE CANNULATED SCREWS Experience in Treatment of Femoral Neck Fractures by means of the Cannulated Screws

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