TY - JOUR PY - 2024// TI - Clinical efficacy of femoral neck system for treatment of unstable femoral neck fractures in young adults JO - Journal of international medical research A1 - Guo, ChangYong A1 - Huang, JiaPing A1 - Chen, ZhiBiao A1 - Cai, ZeMing A1 - Cai, TaoYi SP - e3000605241238983 EP - e3000605241238983 VL - 52 IS - 5 N2 - OBJECTIVE: This study was performed to evaluate the mid-term clinical efficacy of the Femoral Neck System (FNS) (DePuy Synthes, Zuchwil, Switzerland) in treating young patients with unstable Pauwels type III femoral neck fractures.

METHODS: We performed a retrospective observational analysis of 21 young adults treated with the FNS. Clinical outcomes were assessed based on fracture reduction quality, Harris hip scores, and postoperative complication rates.

RESULTS: The study comprised 21 patients with a mean age of 35 years (range, 20-50 years) who were followed for a mean duration of 22.8 months (range, 16-30 months). Closed reduction was unfeasible in three (14.3%) patients, each of whom required open reduction. Notable postoperative complications were avascular necrosis in two (9.5%) patients, nonunion in one (4.7%), and implant failure in one (4.7%). Each of these complications led to the requirement for total hip arthroplasty.

CONCLUSION: The favorable mid-term clinical outcomes of this study indicate that the FNS is a potentially effective treatment modality for young individuals with unstable Pauwels type III femoral neck fractures.

Language: en

LA - en SN - 0300-0605 UR - http://dx.doi.org/10.1177/03000605241238983 ID - ref1 ER -