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Outcome of percutaneous compression plate for treatment of femoral neck fractures: mean follow-up of 4.4 years

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Abstract

Purpose

Percutaneous compression plate (PCCP) provides superior anti-rotational abilities and mechanical strength in femoral neck fractures (FNFs). The first series reporting its utilization of FNFs was promising. Since the long-term outcome regarding the implant has not been reported, the purpose of this study was to evaluate the long-term functional outcomes and complications after fixation using PCCP in FNFs.

Materials and methods

From 2010 to 2019, 51 patients aged from 18 to 87 years were evaluated; 11 patients were excluded from this study. Demographic data, fracture classification, and complications were analyzed. Besides plain radiographs and CT, uptake ratios using bone scintigraphy and/or SPECT were also collected and analyzed.

Results

At a mean follow-up of 4.4 ± 2.0 years (range, 2–10 years), the mean Harris hip score was 88, with 44 patients (86.3%) achieving excellent or good outcomes. The rate of complication was 13.7% (7/51), with five cases of osteonecrosis of the femoral head (OFNH). Hip replacements were performed in four (7.8%) cases. After confirmation of normal transfusion status, 11 patients underwent elective removal of the implant without further complications.

Conclusion

Closed reduction and internal fixation using PCCP in FNFs resulted in satisfactory outcomes with low complication rates. Longer follow-up (3–5 years) and sequential bone scintigraphy or SPECT after surgery are recommended after internal fixation using PCCP.

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Data availability

All data are available in the Department of Orthopedics of the First affiliated hospital of Soochow University.

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Funding

The authors did not receive support from any organization for the submitted work.

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Author notes

  1. Ming Xu

    Present address: Department of Orthopaedics Surgery, The First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, 215000, Jiangsu Province, China

Authors and Affiliations

  1. Department of Orthopaedics Surgery, The First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, 215000, Jiangsu Province, China

    Zhe-Yu Jin, Chao Gu & Hui-Lin Yang

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Contributions

All authors contributed to the study’s conception and design. Material preparation, data collection, and analysis were performed by Zhe-Yu Jin and Chao Gu. The original draft of the manuscript was written by Zhe-Yu Jin. Hui-Lin Yang and Ming Xu revised the draft. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Ming Xu.

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Ethics approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The study was approved institutional review board at the First Affiliated Hospital of Soochow University (IRB#2021–176).

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Informed consent was obtained from all individual participants included in the study.

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Patients signed informed consent regarding publishing their data and imaging materials.

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Jin, ZY., Gu, C., Yang, HL. et al. Outcome of percutaneous compression plate for treatment of femoral neck fractures: mean follow-up of 4.4 years. International Orthopaedics (SICOT) 46, 1891–1898 (2022). https://doi.org/10.1007/s00264-022-05405-1

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