A comparative study of femoral neck system (FNS) and multiple screw fixation in patients with femoral neck fracture in Sisaket hospital
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Abstract
Femoral neck fractures are a common condition that significantly impacts quality of life, and the choice of fixation between the Femoral Neck System (FNS) and Multiple Screw Fixation (MCS) remains a subject of ongoing debate. This retrospective comparative study was conducted at Sisaket Hospital between 2018 and 2024, enrolling 115 patients who underwent surgical fixation for femoral neck fractures, divided into FNS (n = 28) and MCS (n = 87) groups with a minimum follow-up of 6 months. Ethical approval was obtained (SSKHREC 075/2568). The FNS group demonstrated significantly higher rates of femoral neck shortening greater than 5 mm (P = 0.003), implant failure (OR 7.64, 95% CI 1.77–33.00, P = 0.002), osteonecrosis of the femoral head (OR 4.67, 95% CI 0.98–22.30, P = 0.03), and revision surgery (OR 3.57, 95% CI 0.95–13.39, P = 0.048), while the MCS group had a significantly higher rate of implant loosening (OR 0.13, 95% CI 0.02–1.04, P = 0.04). Multivariate logistic regression identified FNS as independently associated with implant failure (Adjusted OR 9.18, 95% CI 1.95–43.12, P = 0.005). Conclusions: Both implants yielded comparable overall complication rates but differed in complication profiles, with FNS showing higher rates of implant failure and femoral neck shortening, while MCS was associated with higher implant loosening.
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เนื้อหาและข้อมูล (เขียนข้อกำหนด)
References
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