Effects of"F"Screw Placement and FNS Fixation on the Efficacy,Fracture Healing and Hip Joint Function of Adult Patients with Traumatic Pauwels Type Ⅲ Femoral Neck Fracture
Objective:To investigate the effects of'F"screw placement and new femoral neck system(FNS)on the efficacy,frac-ture healing and hip joint function of adult traumatic Pauwels type Ⅲ femoral neck fracture.Methods:A total of 78 adult patients with traumatic Pauwels type Ⅲ femoral neck fracture admitted to our hospital from January 2019 to December 2021 were selected as the research objects.The patients were divided into control group and study group by random number table method,with 36 cases in each group.The control group was treated with FNS,and the observation group was treated with"F"type nail internal fixation.The curative effect,postoperative condition,fracture healing,hip function,fracture reduction quality and complications were observed and compared between the two groups.Results:The total effective rate of treatment in the observation group was 80.56%higher than that 52.78%in the control group(P<0.05).The hospitalization time,walking time and full weight-bearing time of the observation group were shorter than those of the control group(P<0.05).The fracture healing of the observation group was better than that of the control group(P<0.05).The Harris scores of the two groups increased gradually with time,and the scores of the observation group at 1 month,3 months and 6 months after surgery were higher than those of the control group(P<0.05).The fracture reduction rate of the observation group was 77.78%higher than that 41.67%of the control group(P<0.05).The incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion:Both"F"type screw placement and FNS fixation can be used to treat adult traumatic Pauwels type Ⅲfemoral neck fracture,but"F"type screw placement has better curative effect,better mechanical stability,less postoperative complica-tions,and is conducive to postoperative recovery of patients,which is worth popularizing in clinical treatment.
"F"screw placementFNS fixationAdultFemoral neck fracturePauwels type ⅢFracture healingHip joint function