Osteosynthesis of Femoral Neck Fractures: Two or Three Screws?
نویسندگان
چکیده
OBJECTIVES To evaluate the efficacy of osteosynthesis on femoral neck fractures using two instead of three screws. METHODS Thirty-nine fractures were retrospectively evaluated, divided into groups in which two screws were used in parallel (n = 28) or three screws (n =11) in an inverted triangle configuration (in accordance with the AO technique). The patients were then followed up until reaching the outcome of either consolidation or failure. RESULTS In the group in which two screws were used, consolidation was observed in 23 of the 28 fractures (82%). In the group in which three screws were used, consolidation was observed in 6 of the 11 fractures (55%). There was no statistically significant difference between these percentages. CONCLUSION There was no difference in the prognosis for these fractures when treated using two screws in parallel or three screws in an inverted triangle in accordance with the AO technique. Further studies are needed in order to establish a definitive conclusion.
منابع مشابه
[DHS osteosynthesis for proximal femoral fractures: infectious complications].
PURPOSE OF THE STUDY Evaluation of infectious complications in patients with proximal femoral fractures treated by osteosynthesis using dynamic hip screws (DHS). MATERIAL The group included 501 patients with 532 DHS procedures performed in the years 1996-2010. In 31 patients osteosynthesis was carried out bilaterally. METHODS Osteosynthesis was indicated for femoral neck fracture in 18 hips...
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