ArticleEuropean journal of medical research2024
New technology: clinical efficacy of intracapsular decompression and supported hollow screw treatment for Garden IV femoral neck fractures.
Article in European journal of medical research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Efficacy and factors of 3D-printed guide-assisted hollow screw internal fixation for femoral neck fractures in the elderly.Annals of medicine · 2026Article
- Treatment-center variations in open versus closed reduction for nonelderly femoral neck fractures.OTA international : the open access journal of orthopaedic trauma · 2026Article
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Authors and funding
11 authors.
Funding
Abstract
backgroundThe management of Garden IV femoral neck fractures presents a formidable challenge. This study aimed to assess the safety and efficacy of a novel technological approach for treating Garden IV femoral neck fractures, involving intracapsular decompression and the utilization of supported hollow screws.
methodsBetween October 2018 and October 2021, a cohort of 46 patients, comprising 25 males and 21 females, was admitted for Garden IV femoral neck fractures. The surgical intervention employed a novel methodology, involving closed reduction of femoral neck fractures on a traction bed and percutaneous implantation of decompression support hollow screw internal fixation in the capsule. Operative parameters such as intraoperative bleeding volume, incision length, and fluoroscopy frequency were recorded. Postoperative angiography was performed to evaluate the blood supply to the femoral neck and femoral head, while long-term follow-up records documented femoral neck fracture healing and patient functional recovery.
resultsThe closed reduction and minimally invasive implantation of decompression support screws in the femoral neck capsule proved effective in successfully fixing Garden IV femoral neck fractures. The screw placement time was 20-45 min, with an average of 25.2 min. The number of fluoroscopy was 6-14, with an average of 7. The postoperative follow-up was 20-25 months, with an average duration of 22 months. All patients exhibited uneventful single-stage wound healing, devoid of complications such as nerve, blood vessel, or important tissue structure injuries. While femoral head necrosis occurred in one case and femoral neck shortening in another, all femoral neck fractures exhibited healing. Post-surgery, patients experienced rapid recovery, enabling early functional exercise with satisfactory functional restoration.
conclusionThe innovative technology, employing femoral neck capsule decompression support hollow screws, not only offers structural support, but also facilitates capsule decompression post-femoral neck fracture surgery. This approach promotes the restoration of blood flow to the femoral head and neck, accelerates fracture healing, diminishes the likelihood of femoral head necrosis, and enhances the overall therapeutic outcome for Garden IV femoral neck fractures. The merits of this novel technique warrant its widespread adoption and application.
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