Evaluating the efficacy of rehabilitation outcomes of the femoral neck system in treating femoral neck fractures: a two-year prospective study
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20241945Keywords:
Femoral neck fracture, FNS, Rehabilitation, Two-year follow-up, Early mobilization, HHSAbstract
Background: Femoral neck fractures are prevalent among the elderly, and the femoral neck system (FNS), introduced in 2017, provides a minimally invasive treatment option with a dynamic bolt feature that enhances stability and facilitates early mobilization.
Methods: This study involved 30 patients with femoral neck fractures treated with FNS at Dr. D. Y. Patil Medical College and Hospital from January 2021 to February 2023. The patients, aged 45-85 years, adhered to a structured rehabilitation protocol. Clinical outcomes were assessed using the Harris hip score (HHS) over 2-year follow-up period.
Results: The cohort consisted of 30 patients (mean age: 65±10 years; 70% male). Fractures were classified as Pauwels I (30%), Pauwels II (40%), and Pauwels III (30%). At the final follow-up, 27 patients (90%) achieved union. The HHS improved significantly from a mean of 35±10 preoperatively to 85±15 postoperatively. Complications included one implant failure, one instance of limb shortening, and one case of avascular necrosis.
Conclusions: The FNS is a safe and effective treatment for femoral neck fractures, promoting early weight-bearing and joint mobilization, leading to improved functional outcomes and reduced complications.
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References
Peng P, Xiao F, He X, Fang W, Huang J, Wang B, et al. Global Research Status and Trends of Femoral Neck Fracture Over the Past 27 Years: A Historical Review and Bibliometric Analysis. Front Surg. 2022;14;9:875040.
Su M, He Z, Huang N, Lin X, Fang K, Dai Z. Superior short-term outcomes of FNS in combination with a cannulated screw in treating femoral neck fractures. BMC Musculoskelet Disord. 2023;24(1):823.
Anderson TB, Duong H. Weight Bearing. In: StatPearls. Treasure Island (FL): StatPearls Publishing. 2023.
Rehabilitation. Available at: https://www.who.int/ news-room/fact-sheets/detail/rehabilitation. Accessed on 20 April 2024.
Cintean R, Pankratz C, Hofmann M, Gebhard F, Schütze K. Early Results in Non-Displaced Femoral Neck Fractures Using the Femoral Neck System. Geriatr Orthop Surg Rehabil. 2021;12:21514593211050153.
Saad A, Patralekh MK, Jain VK, Shrestha S, Botchu R, Iyengar KP. Femoral neck system reduces surgical time and complications in adults with femoral neck fractures: A systematic review and meta-analysis. J Clin Orthop Trauma. 2022;30:101917.
Wu ZF, Luo ZH, Hu LC, Luo YW. Efficacy of the femoral neck system in femoral neck fracture treatment in adults: A systematic review and meta-analysis. World J Clin Cases. 2022;10(31):11454-65.
Al-Dorzi HM, AlQahtani S, Al-Dawood A, Al-Hameed FM, Burns KEA, Mehta S, et al. Association of early mobility with the incidence of deep-vein thrombosis and mortality among critically ill patients: a post hoc analysis of PREVENT trial. Crit Care. 2023;27(1):83.
Chatsis V, Visintini S. Early Mobilization for Patients with Venous Thromboembolism: A Review of Clinical Effectiveness and Guidelines. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health. 2018.
De Brito CMM, Battistella LR, Guarita MLC. Challenges and Complications of Immobility. In: Topics in Cognitive Rehabilitation in the TBI Post-Hospital Phase. Cham: Springer International Publishing. 2018;25-33.
Yoon JY, Byun SE, Cho YH. Fixation of femoral neck fracture with femoral neck system: a retrospective cohort study of 43 patients. BMC Musculoskelet Disord. 2024;25(1):8.
Rajnish RK, Srivastava A, Rathod PM, Haq RU, Aggarwal S, Kumar P, et al. Does the femoral neck system provide better outcomes compared to cannulated screws fixation for the management of femoral neck fracture in young adults? A systematic review of literature and meta-analysis. J Orthop. 2022;32:52-9.
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