학술논문
대퇴 경부 골절 환자의 치료에서 대퇴 경부 시스템 및 유관 압박 나사 간의 임상 결과 비교
Comparison of Clinical Outcomes for Femoral Neck System and Cannulated Compression Screws in the Treatment of Femoral Neck Fracture
Comparison of Clinical Outcomes for Femoral Neck System and Cannulated Compression Screws in the Treatment of Femoral Neck Fracture
Document Type
Article
Author
황재광 / Jae Kwang Hwang; 이기원 / Kiwon Lee; 서동교 / Dong-kyo Seo; 배주열 / Joo-yul Bae; 송명근 / Myeong-geun Song; 최한석 / Hansuk Choi
Source
대한골절학회지 / The Journal of the Korean Society of Fractures. Jul 25, 2023 36(3):77
Subject
Language
Korean
ISSN
1225-1682
Abstract
목적: 본 연구에서는 CCS 및 FNS를 이용한 대퇴골 경부 골절의 내고정술의 임상적, 방사선학적 결과를 비교하고자 하였다. 대상 및 방법: 2016년 1월부터 2022년 1월까지 본원 정형외과에서 대퇴 경부 골절로 CCS 혹은 FNS를 이용한 내고정술을 시행 받은 환자를 후향적으로 분석하였다. 환자들의 수술 후 3개월, 1년 후 각각의 HHS를 비교하였다. 수술 시간, 수술 후 골절 유합에 걸린 시간 및 합병증을 비교 분석하였다. 결과: CCS군 41명과 FNS군 38명, 총 79명의 환자를 대상으로 하였다. FNS군에서 수술에 소요된 시간이 더 길었으며, 수술 후 3개월에 시행한 HHS가 더 높게 평가되었다(p<0.01). 대퇴 경부 단축은 FNS군에서 유의하게 적었다(p=0.022). 골유합 기간 및 주요 합병증에서는 유의한 차이가 없었다. 결론: 수술 후 3개월 HHS와 대퇴 경부 단축을 제외한 대부분의 임상 결과 및 합병증에서 두 군 간의 차이는 없었다. 대퇴 경부 골절 수술에서 FNS를 이용한 방법은 기존의 CCS를 이용한 수술 방법과 더불어 하나의 선택지가 될 수 있을 것으로 생각된다.
Purpose: This study compared the clinical and radiological results of the femoral neck system (FNS) and cannulated compression screws (CCS) for the fixation of femoral neck fractures. Materials and Methods: Patients who underwent FNS or CCS internal fixation for femoral neck fractures between January 2016 and January 2022 were analyzed retrospectively. The hip joint function using the Harris hip score (HHS) was evaluated three months and one year after surgery. The operation time, fracture healing time, and associated surgical complications in the two groups were compared and analyzed statistically. Results: Seventy-nine patients were categorized into 38 FNS and 41 CCS groups. The FNS group had a longer operation time and higher postoperative HHS at three months (p<0.01). Femoral neck shortening was lower in the FNS group (p=0.022). There were no significant differences in the fracture healing time and other complications. Conclusion: There were no differences in most clinical outcomes and complications between the two groups except for the three-month HHS and femoral neck shortening. This study suggests that FNS could be an alternative to CCS for treating femoral neck fractures.
Purpose: This study compared the clinical and radiological results of the femoral neck system (FNS) and cannulated compression screws (CCS) for the fixation of femoral neck fractures. Materials and Methods: Patients who underwent FNS or CCS internal fixation for femoral neck fractures between January 2016 and January 2022 were analyzed retrospectively. The hip joint function using the Harris hip score (HHS) was evaluated three months and one year after surgery. The operation time, fracture healing time, and associated surgical complications in the two groups were compared and analyzed statistically. Results: Seventy-nine patients were categorized into 38 FNS and 41 CCS groups. The FNS group had a longer operation time and higher postoperative HHS at three months (p<0.01). Femoral neck shortening was lower in the FNS group (p=0.022). There were no significant differences in the fracture healing time and other complications. Conclusion: There were no differences in most clinical outcomes and complications between the two groups except for the three-month HHS and femoral neck shortening. This study suggests that FNS could be an alternative to CCS for treating femoral neck fractures.