The effect of anteromedial support plate with three cannulated screws in the treatment of Pauwels type III femoral neck fracture in young adults

作者：Lin, Shanghui; Li, Jinmei; Wang, Renkai; Ou, Yongliang; Jia, Zhenyu; Zhang, Ying; Xia, Hong; Li, Baofeng^*; Chen, Bei^*

来源：European Journal of Trauma and Emergency Surgery, 2022, 48(5): 4011-4017.

DOI：10.1007/s00068-022-01931-0

• Pauwels type III femoral neck fracture
• Anteromedial support plate
• Cannulated screws
• Open reduction
• Avascular necrosis
• Nonunion

Purpose This study is aimed to evaluate the clinical effects of anteromedial support plate combined with three cannulated screws on Pauwels type III femoral neck fractures in young adults. Methods We conducted a retrospective study of 27 patients with Pauwels type III femoral neck fracture treated by anteromedial support plate combined with three cannulated screws. The results of fracture healing and complications for all patients were assessed by postoperative imaging examination. The Harris hip score was used to evaluate the functional outcome of the hip at the last follow-up. Results The fracture union was achieved in 25 patients (92.6%). However, two patients required reoperation (two for nonunion). Early implant failure occurred in one patient, neck shortening in one patient and coxa vara in one patient. The excellent or good outcome of the Harris hip score was 96% for the 25 patients with satisfactory fracture union. Conclusion Our preliminary results indicate that anteromedial support plate combined with three cannulated screws is a good alternative in the treatment of Pauwels type III femoral neck fractures in young adults with high union rate and low incidence of complications including nonunion and avascular necrosis of the femoral head.

• 单位
  南方医科大学