Abstract:

BACKGROUND: Meta-analysis shows the high rate of nonunion, femoral head necrosis and operative revision in femooal neck fractures after internal fixation.
OBJECTIVE: To explore the security and short-term therapeutic effect of novel implant percutaneous compression plate (PCCP) on the recovery of femoral neck fractures.
METHODS: Twenty-four patients suffering from fresh femoral neck fractures were treated with PCCP. The postoperative pain score at 3 days, a Harris score of the last follow-up, union of fracture and complications were recorded.
RESULTS AND CONCLUSION: The mean duration of follow-up was 6.2 months (2.5-11 months). There were 14 cases followed-up for more than half a year and all of them were healed. No fixation failure, re-fracture, hip varus or other complications were found. There was no blood transfusion preformed in any patient during and after operation. The mean time of partial weight-bearing was 4.8 days (2-14 days). Postoperative pain rank at 3 days showed: grade one in 10 cases, grade two in 12 cases and grade three in two cases. Cases in grade one and two accounted for 91%. According to Harris score, the postoperative excellent rate reached 87% after the final follow-up. It shows that the novel implant PCCP implantation is security to the recovery of femoral neck fractures. Stable fixation allows patients early weight-bearing rehabilitation which makes satisfactory short-term therapeutic outcomes.