A three-dimensional measurement study of fracture displacement in Garden I femoral neck fracture: a retrospective study

被引:4
作者
Wang, Ying [1 ,3 ]
Ma, Jianxiong [1 ,3 ]
Bai, Haohao [1 ,3 ]
Zhan, Hongqi [2 ]
Lu, Bin [1 ,3 ]
Sun, Lei [1 ,3 ]
Jin, Hongzhen [1 ,3 ]
Zhao, Xingwen [2 ]
Wu, Yanfei [2 ]
Chen, Jiahui [2 ]
Ma, Xinlong [1 ,3 ]
机构
[1] Tianjin Univ, Tianjin Hosp, Tianjin 300050, Peoples R China
[2] Tianjin Med Univ, Clin Coll Orthoped, Tianjin 300070, Peoples R China
[3] Tianjin Key Lab Orthoped Biomech & Med Engn, Tianjin 300050, Peoples R China
关键词
Femoral neck fracture; Garden I fractures; 3D reconstruction; Displacement; MANAGEMENT;
D O I
10.1186/s12891-023-06737-8
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
BackgroundGarden I femoral neck fractures are nondisplaced femoral neck fractures. Nonoperative treatment and in situ fixation are the preferred treatments. However, the postoperative outcome is not satisfactory and the incidence of complications remains high, which raises doubts about the accuracy of the diagnosis of nondisplaced Garden I fractures. Recently, three-dimensional (3D) reconstruction has been reported as a mature technology for reconstructing the bone structure of patients. We further extended this technique in the measurement of the fracture spatial displacement to verify the accuracy of Garden I femoral neck fractures.MethodsThis was a retrospective study of patients with Garden I femoral neck fractures from January 2013 to December 2018 at our institution, who were included according to specified criteria. A bilateral proximal femur model of each patient was established based on computed tomography (CT) data. The displacement of the deepest portion of the femoral head fovea, the displacement of the center of the femoral head and the rotation of the femoral head were measured in the bilateral model.ResultsA total of 102 patients diagnosed with Garden I fractures were included in this study. The cohort included 32 men and 70 women, with an average age of 55.88 & PLUSMN; 15.32 years. In these patients, the average displacement of the deepest portion of the femoral head fovea was 16.43 & PLUSMN; 7.69 mm. The minimum and maximum displacement was 3.58 and 44.32 mm, respectively. The average displacement of the center of the femoral head was 10.39 & PLUSMN; 5.47 mm and ranged from 2.16 to 34.42 mm. The rotational angle was 23.81 & PLUSMN; 10.15 & DEG; and ranged from 3.71 & DEG; to 61.19 & DEG;.ConclusionsGarden I fractures have large spatial displacement and cannot be considered incomplete or nondisplaced fractures. Therefore, we suggest that anatomical reduction should be considered during treatment.
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页数:4
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共 26 条
[1]   Non-operative treatment is a reliable option in over two thirds of patients with Garden I hip fractures. Rates and risk factors for failure in 298 patients [J].
Amsellem, Delphine ;
Parratte, Sebastien ;
Flecher, Xavier ;
Argenson, Jean-Noel ;
Ollivier, Matthieu .
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH, 2019, 105 (05) :985-990
[2]  
AUFRANC OE, 1964, JAMA-J AM MED ASSOC, V189, P314
[3]   Operative management of displaced femoral neck fractures in elderly patients - An international survey [J].
Bhandari, M ;
Devereaux, PJ ;
Tornetta, P ;
Swiontkowski, MF ;
Berry, DJ ;
Haidukewych, G ;
Schemitsch, EH ;
Hanson, BP ;
Koval, K ;
Dirschl, D ;
Leece, P ;
Keel, M ;
Petrisor, B ;
Heetveld, M ;
Guyatt, GH .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2005, 87A (09) :2122-2130
[4]   Management of Acute Hip Fracture [J].
Bhandari, Mohit ;
Swiontkowski, Marc .
NEW ENGLAND JOURNAL OF MEDICINE, 2017, 377 (21) :2053-2062
[5]   Outcome of undisplaced and moderately displaced femoral neck fractures -: A prospective study of 466 patients treated by internal fixation [J].
Bjorgul, Kristian ;
Reikeras, Olav .
ACTA ORTHOPAEDICA, 2007, 78 (04) :498-504
[6]   Garden I femoral neck fractures in patients 65 years old and older: Is conservative functional treatment a viable option? [J].
Buord, J. -M. ;
Flecher, X. ;
Parratte, S. ;
Boyer, L. ;
Aubaniac, J. -M. ;
Argenson, J. -N. .
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH, 2010, 96 (03) :228-234
[7]   Garden type I fractures myth or reality? A prospective study comparing CT scans with X-ray findings in Garden type I femoral neck fractures [J].
Chen, Wei ;
Li, Zhiyong ;
Su, Yanling ;
Hou, Zhiyong ;
Zhang, Qi ;
Zhang, Yingze .
BONE, 2012, 51 (05) :929-932
[8]   HIP-FRACTURES IN THE ELDERLY - A WORLDWIDE PROJECTION [J].
COOPER, C ;
CAMPION, G ;
MELTON, LJ .
OSTEOPOROSIS INTERNATIONAL, 1992, 2 (06) :285-289
[9]   Epidemiology of hip fracture: Worldwide geographic variation [J].
Dhanwal, Dinesh K. ;
Dennison, Elaine M. ;
Harvey, Nick C. ;
Cooper, Cyrus .
INDIAN JOURNAL OF ORTHOPAEDICS, 2011, 45 (01) :15-22
[10]   Reunderstanding of Garden Type I Femoral Neck Fractures by 3-dimensional Reconstruction [J].
Du, Chang-ling ;
Ma, Xin-long ;
Zhang, Tao ;
Zhang, Hua-feng ;
Wang, Chen-guang ;
Zhao, Feng ;
Ma, Jian-xiong ;
Fu, Xin ;
Li, Zhi-jun .
ORTHOPEDICS, 2013, 36 (06) :820-825