Comparative study on the treatment of femoral neck fracture in young adults with hollow nail locking plate and pressurized hollow screw

ObjectiveTo compare the clinical effects between hollow nail locking plate and pressurized hollow screw in the treatment of femoral neck fracture.

MethodsSixty-four patients with femoral neck fractures were randomly divided into the hollow nail locking plate group(group A) and pressurized hollow screw group(group B).According to the classification of Garden standard, the time from injury to operation, operation time, blood loss, hospital stay, fracture healing time and complications in two groups were recorded and analyzed.

ResultsThe differences of the gender, age, time from injury to operation, hospital stay, open reduction time, operation time and fracture healing time between two groups were not statistically significant(P>0.05).The peroperative bleeding and postoperative Harris score in group A were significantly higher than those in group B(P < 0.01).The incidence rates of postoperative loosening, removal, nail removal and total complications in group A were significantly lower than those in group B(P < 0.05 and P < 0.01).

ConclusionsDuring the surgical treatment of femoral neck fracture, compared with the pressurized hollow screw, the hollow nail locking plate of proximal femoral has the advantages of low postoperative complications and good recovery of hip function.