The Early Results Of Percutaneous Compression Plating For The Treatment Of Fresh Femoral Neck Fracture

Purpose: The objective of this study was to present the preliminary results oftreatment of fresh femoral neck fracture using this method.Methods: Data for102patients were analyzed retrospectively. There were54malesand48females with the age of52.4±16.1years. Based on Garden classification, there were63(61.8%) undisplaced fractures and39(38.2%) displaced fractures. All patients wereadopted closed reduction.Results: Duration from injury to operation was5.7±2.2days. The operation time was62.5±19.7minutes. The intraoperative blood loss was126.7±89.2ml.98patients (96.1%)did not need perioperative blood transfusion. Within the follow-up,8patients (7.8%) werelost. Based on a follow-up of18.9±8.4months of the remaining94patients, the Harris hipscore was92.9±5.0at the last follow-up, and93patients (98.9%) were excellent or good.93patients (98.9%) walked independently,1(1.1%) walked with walking-sticks. The partweight-bearing time was3.6±1.7days, the full weight-bearing time was2.1±1.4months.The clinical fracture healing time was3.9±1.6months. After surgery, there was no NUoccurred in the fractures. Two patients (2.1%) had delayed union. Two (2.1%) patientsdeveloped to AVN, one (2.7%) for displaced fractures and one (1.8%) for undisplacedfractures. There were no other complications or prosthetic replacement.Conclusions: PCCP is a kind of stable internal fixation which is suitable for thetreatment of the femoral neck fracture. Patients can obtain early weight bearing which canfacilitate the union of fracture with well functional reduction and low risk of UN and AVN.