Auxiliary positioning of a new positioning
device in internal fixation of femoral neck fracture with cannulated screws

doi:10.3969/j.issn.2095-4344.2640

Abstract

Abstract:

BACKGROUND: At present, the application of intelligent positioning devices such as orthopedic robots and computer navigation systems in closed reduction surgery for femoral neck fractures is gradually developed, and grassroots hospitals still need a cheap auxiliary positioning device.

OBJECTIVE: To investigate the effect of a Kirschner wire positioning device for assisted localization in internal fixation of femoral neck fracture with cannulated screws.

METHODS: Fifty-four cases of femoral neck fracture treated in Binzhou Medical University Hospital from February 2016 to March 2018 were retrospectively analyzed. The patients were allocated into the two groups, 28 patients who received traditional cannulated screws internal fixation were in the traditional group, and 26 patients who received assisted localization internal fixation with cannulated screws were in the assisted localization group. The angle, direction and distance of the Kirschner wire could be quantified and fine-tuned, assisted with accurate positioning, and the placement of the cannulated screws was guided. Clinical and imaging data were compared between two groups.

RESULTS AND CONCLUSION: (1) All patients received surgery successfully. No intraoperative complications such as vascular or nerve injury occurred. Postoperative image showed good fracture reduction, cannulated screw distribution, angle and position. (2) The operation time in the assisted localization group (49.27±4.86) minutes was shorter than that in the traditional group (59.64±8.02) minutes (P < 0.01). The number of fluoroscopy in the assisted localization group was significantly lower than that in the traditional group (P < 0.01). (3) There was no significant difference between two groups in the follow-up time, fracture healing time and Harris score at the last follow-up (P > 0.05). The excellent and good rate of Harris score in the assisted localization group was 89%. (4) No necrosis of femoral head occurred during the follow-up, and the rate of late necrosis should be followed up. (5) Our findings suggest that Kirschner wire positioning device can assist in quantitative positioning and guide the placement of cannulated screw in the internal fixation of femoral neck fracture. It can effectively improve the positioning efficiency, reduce the number of fluoroscopy, avoid repeatedly adjusting the penetration to damage femoral neck bone, and promote the recovery of patients.

Key words: auxiliary positioning, femoral neck fracture, Kirschner wire, positioning device, internal fixation

CLC Number:

Du Gangqiang, Jiang Shengyuan, Fu Guan, Li Peng, Jiang Jianhao, Zhang Kai, Jia Long, Gong Zhihao, Song Kaikai, Yang Shuye. Auxiliary positioning of a new positioning device in internal fixation of femoral neck fracture with cannulated screws[J]. Chinese Journal of Tissue Engineering Research, 2020, 24(18): 2855-2860.

Figures/Tables 5

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