Factors Associated With Early Failure of The Femoral Neck System (FNS) in Patients With Femoral Neck Fractures
Abstract BackgroundThe femoral neck system (FNS) is a novel internal fixation system for the treatment of femoral neck fractures (FNFs). However, there is a paucity of literature looking at the factors associated with early failure of the FNS (EFFNS) in patients with FNFs. In this study, we aimed to investigate the prevalence of EFFNS and identify risk factors for EFFNS in patients with FNFs.MethodsWe retrospectively analysed 62 patients who presented with intracapsular neck femur fractures and underwent FNS fixation between 2019 and 2021. Demographic, clinical characteristics and radiographic features are described. Multifactor logistic regression analysis was used to analyse the different influencing factors.ResultsOf the 62 FNFs, 10 patients (16.1%) developed early failures after FNS fixation, including 6 cases of severe femoral neck shortening, 1 case of avascular necrosis of the femoral head, 1 case of nonunion, and 2 cases of screw-out. In the failure group, all patients were younger than 65 years old. The proportion was significantly higher than the 59.6% in the healing group (P = 0.012). However, we found that Garden classification (P = 0.464) and age (P = 0.128) were not statistically significant risk factors for EFFNS. ConclusionsOur study demonstrated that age was an important factor influencing EFFNS. However, we cannot determine whether age and Garden classification are independent risk factors for EFFNS in the treatment of FNFs.Trial registration: ChiCTR2100051360. Registered on 21 September, 2021. https://www.chictr.org.cn/index.aspx.