Key result
Two cannulated screws combined with one fully threaded cannulated screw and a Targon locking plate significantly improved modified Harris hip scores at 24 months (89.4 vs 81.1) compared to three cannulated screws.
Why the study?
The study aimed to compare clinical and radiological outcomes between three cannulated screws and two cannulated screws combined with one fully threaded cannulated screw and TARGON locking plate for displaced intracapsular hip fracture.
Does two cannulated screws combined with one fully threaded cannulated screw and Targon locking plate improve clinical and radiological outcomes compared to three cannulated screws in patients with displaced intracapsular hip fracture?
Cohort (n=75)
No
Does two cannulated screws combined with one fully threaded cannulated screw and Targon locking plate improve clinical and radiological outcomes compared to three cannulated screws in patients with displaced intracapsular hip fracture?
In patients with displaced intracapsular hip fracture, fixation with a Targon locking plate and cannulated screws significantly improved hip function and reduced complications and femoral neck shortening compared to three cannulated screws.
Retrospective comparison of TCS-TLP versus TCS in displaced intracapsular hip fractures leaves open questions on superiority; randomized trials required before practice change.
Purpose: The aim of this retrospective study was to compare the clinical and radiological outcomes between three cannulated screws (TCS) and two cannulated screws combined one fully threaded cannulated screw with TARGON locking plate (TCS-TLP) for the displaced intracapsular hip fracture.Methods: 75 patients underwent displaced intracapsular hip fracture were treated with operation from January 2013 to January 2019. 35 patients underwent TCS-TLP and others 40 patients treated with TCS. Injuries were assessed based on AO classification, and the outcomes measurements including modified Harris hip score (MHHS), visual analogue score (VAS) and the radiological data.Results: There were significantly better MHHS improvement in the TCS-TLP group than TCS group at the 12 months (85.6 VS 75.6, P<0.05) and 24 months (89.4 VS 81.1, P<0.05). And a total of 5 patients had complications in TCS-TLP group whilst 14 cases in the TCS group (P<0.05), similarly, the femoral neck shorten rate was significantly less in the TCS-TLP group at each follow-up visit (P<0.05).Conclusion: Patients treated with two cannulated screws combined one fully threaded cannulated screw with Targon locking plate can have better function improvement, less orthopedic complications and prevent femoral neck shorting.
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Hou et al. (2022) conducted a cohort in Displaced intracapsular hip fracture (n=75). Two cannulated screws combined with one fully threaded cannulated screw and Targon locking plate (TCS-TLP) vs. Three cannulated screws (TCS) was evaluated on Modified Harris hip score (MHHS) at 24 months (p=0.04). Two cannulated screws combined with one fully threaded cannulated screw and a Targon locking plate significantly improved modified Harris hip scores at 24 months (89.4 vs 81.1) compared to three cannulated screws.
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