Key result
The femoral neck system significantly reduced operating room time (54 vs. 91.68 min, p<0.01) and dose-area product (721 vs. 1604 cGycm², p=0.03) compared to the dynamic hip screw.
Why the study?
The femoral neck system was introduced to reduce invasiveness, operating time, and fluoroscopy time, but required comparison against the dynamic hip screw with an anti-rotation screw for femoral neck fractures.
Does the femoral neck system (FNS) reduce operating room time and radiation dose compared to the dynamic hip screw (DHS) in patients with femoral neck fractures?
Population
31 patients treated for femoral neck fractures with closed reduction and internal fixation
Comparison
Femoral neck system vs dynamic hip screw with an anti-rotation screw
Design
Retrospective single-centre study
Follow-up
One week postoperatively
Authors
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FNS may reduce perioperative burden versus DHS in FNF fixation; leaves open whether it improves long-term outcomes.
Observational (n=31)
No
Does the femoral neck system (FNS) reduce operating room time and radiation dose compared to the dynamic hip screw (DHS) in patients with femoral neck fractures?
Absolute Event Rate: 54% vs 91.68%
p-value: p=<0.01
The femoral neck system significantly reduces operating room time and radiation exposure compared to the dynamic hip screw in patients with femoral neck fractures.
Niemann et al. (2022) conducted an observational in Femoral neck fractures (n=31). Femoral neck system (FNS) vs. Dynamic hip screw (DHS) with an anti-rotation screw (ARS) was evaluated on Operating room time (ORT) in minutes (p=<0.01). The femoral neck system significantly reduced operating room time (54 vs. 91.68 min, p<0.01) and dose-area product (721 vs. 1604 cGycm², p=0.03) compared to the dynamic hip screw.
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