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. 2021 Oct 15;13(10):12083-12089.
eCollection 2021.

Treatment effect of elastic intramedullary nail reduction and fixation on children with femoral neck fractures

Qian Xu  1 , Hongyong Zhu  2 , Guangqiang Zhen  3 , Jin Xu  4 , Longzu Li  5
Affiliations

Treatment effect of elastic intramedullary nail reduction and fixation on children with femoral neck fractures

Qian Xu et al. Am J Transl Res. .

Abstract

Objective: To investigate the treatment effect of elastic intramedullary nail reduction and fixation on children with femoral neck fractures.

Methods: Sixty-two children with femoral neck fractures in our hospital were equally divided into the open reduction and Kirschner wire internal fixation group (group O) and elastic intramedullary nail reduction and fixation group (group E). We investigated the differences in fracture healing time, intraoperative situation, clinical efficacy, Harris scores, secondary effects and bone healing time between group O and group E.

Results: The intraoperative indexes such as operation time and blood loss of group E were significantly lower than those of group O (P<0.05). After the operation, the treatment effect of group E was slightly higher than that of group O, but there was no significant difference (P>0.05). The Harris score of group E was significantly higher than that of group O (P<0.05). The fracture healing time and bone healing time after the surgery in group E were significantly shorter than those in group O (P<0.05). The incidence of secondary effects in group E was lower than that in group O, but without significant difference (P>0.05).

Conclusion: Elastic intramedullary nail reduction and fixation has a better effect in the treatment of children with femoral neck fractures, which can accelerate fracture healing time and improve children's hip function after the operation.

Keywords: Femoral neck fractures; children; elastic intramedullary nail reduction and fixation; treatment effect.

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Conflict of interest statement

None.

Figures

Figure 1
Figure 1
Imaging images of typical cases. A: The X-ray image of internal fixation method in group O; B: The X-ray image of internal fixation method in group E.
See this image and copyright information in PMC

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