ORIGINAL RESEARCH article
Front. Surg.
Sec. Orthopedic Surgery
Volume 12 - 2025 | doi: 10.3389/fsurg.2025.1600331
This article is part of the Research TopicSurgical Advances in Orthopedic Trauma: A Biomechanical ApproachView all 10 articles
Clinical Efficacy Comparison of Internal Fixation of Locking Compression Plate and Cannulated Screw in Treatment of Elderly Femoral Neck Fractures -A Retrospective Study
Provisionally accepted
- 1Hunan University of Chinese Medicine, Hunan, China
- 2Xiangtan Hospital of Traditional Chinese Medicine, Hnan, China
- 3The First Affiliated Hospital of Hunan University of Chinese Medicine, Hunan, China
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Objective: To explore the clinical efficacy of internal fixation of locking compression plate and Cannulated Screw in treatment of elderly femoral neck fractures. Methods: 175 patients with femoral neck fractures admitted to our hospital from January 2022 to December 2022 were enrolled in the study. 93 cases in the control group were treated with Cannulated Screw internal fixation, and 82 cases in the observation group were treated with locking plate internal fixation. The control group was treated with cannulated screw internal fixation, while the observation group was treated with locking compression plate internal fixation. Results: Compared with the control group, the observation group had a significantly shorter time for partial weight-bearing exercise, with a statistically significant difference (p < 0.05), and a significantly lower incidence of postoperative complications, with a statistically significant difference (p<0.05).The ROM of hip extension-flexion at 1 month and 6 months after operation and the ROM of hip internal rotation-external rotation at 1 month after operation in the observation group were significantly higher than those in the control group, and the differences were statistically significant ( P < 0.01 ). The VAS score of the observation group was significantly lower than that of the control group at 1 month after operation, and the difference was statistically significant ( P< 0.01 ). Conclusion: Both locking compression plate internal fixation and cannulated screw internal fixation are effective in the treatment of elderly femoral neck fractures. Compared with cannulated screw internal fixation, locking compression plate internal fixation helps patients to engage in early functional exercise and has a lower incidence of postoperative complications.
Keywords: Femoral neck fracture, Cannulated Screw fixation, Locking compression plate, early functional recovery, complications
Received: 26 Mar 2025; Accepted: 30 Jul 2025.
Copyright: © 2025 Sun, Sun, Li, Tang, Liu, Li and Yang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Shaofeng Yang, The First Affiliated Hospital of Hunan University of Chinese Medicine, Hunan, China
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