Comparison of dynamic compression system versus multiple cancellous screws in the treatment of femoral neck fractures in young adults

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dc.contributor.authorAljasim, Omar
dc.contributor.authorYener, Can
dc.contributor.authorOzkayin, Nadir
dc.date.accessioned2024-08-31T07:48:22Z
dc.date.available2024-08-31T07:48:22Z
dc.date.issued2024
dc.departmentEge Üniversitesien_US
dc.description.abstractIntroduction Femoral neck fractures have posed a significant global healthcare challenge and had notable impacts on the quality of life. Current treatment strategies for femoral neck fractures in young individuals have varied, emphasizing the need for optimal fixation methods. This study compared the clinical and radiological outcomes of the dynamic compression system (DCS) and multiple cancellous screws (MCS) methods. Methods This retrospective study included a total of 275 young adults with fresh femoral neck fractures treated with DCS and MCS. A matching analysis with a 1:1 ratio based on age, gender, fracture classification, and reduction quality was conducted. Demographic data were recorded, and comparisons were made according to follow-up time (FUT), hospitalization period, operation duration, femoral neck shortening, caput-collum-diaphysis (CCD) angle, Harris Hip Score (HHS), and post-operative complications. Results A total of 42 fractures were matched with a median age of 42 years (range, 22-48). In the DCS group, vertical neck shortening (median 1.92) was significantly lower than that in the MCS group (median 4.53) (P < 0.05). In the DCS group, horizontal femoral neck shortening, resultant femoral neck shortening, the amount of change in CCD angle, and HHS were 0.57 mm (0.43, 4.74 mm), 1.82 mm (0.40, 3.53 mm), 0.13 degrees (-0.78 degrees, 1.80 degrees), and 91 (85-93), respectively. They were all non-significant than 1.00 mm (0.56, 6.23 mm), 2.74 mm (1.59, 6.71 mm), -0.18 degrees (-1.11 degrees,1.85 degrees), and 91 (75, 93) in the MCS group, respectively (P > 0.05). There was no statistical difference in FUT, hospitalization period, operation time, and post-operative complications at the latest follow-up (P > 0.05). There were no complications such as pulmonary embolism, deep vein thrombosis, and incision infection reported. Conclusion DCS and MCS demonstrated effectiveness in treating femoral neck fractures in young adults. The DCS implant provides additional stability in the vertical axis. A prospective randomized controlled study with a large sample size was needed to validate these findings.en_US
dc.description.sponsorshipDAS:No datasets were generated or analysed during the current study.en_US
dc.identifier.doi10.1186/s13018-024-04913-7
dc.identifier.issn1749-799X
dc.identifier.issue1en_US
dc.identifier.pmid39039508en_US
dc.identifier.scopus2-s2.0-85199166945en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.urihttps://doi.org/10.1186/s13018-024-04913-7
dc.identifier.urihttps://hdl.handle.net/11454/104758
dc.identifier.volume19en_US
dc.identifier.wosWOS:001274422800001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBmcen_US
dc.relation.ispartofJournal of Orthopaedic Surgery and Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmz20240831_Uen_US
dc.subjectFemoral Neck Fractureen_US
dc.subjectInternal Fixationen_US
dc.subjectMultiple Cancellous Screwsen_US
dc.subjectDynamic Compression Systemen_US
dc.titleComparison of dynamic compression system versus multiple cancellous screws in the treatment of femoral neck fractures in young adultsen_US
dc.typeArticleen_US

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