The outcome of intracapsular hip fracture fixation using the Targon Femoral Neck (TFN) locking plate system or cannulated cancellous screws: A comparative study involving 2004 patients |
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| Affiliation: | 1. Peterborough and Stamford Hospital NHS Foundation Trust, Department of Orthopaedics, Peterborough City Hospital, Peterborough, PE3 9GZ, UK;2. East of England Deanery, 2-4 Victoria House, Capital Park, Fulbourn, Cambridge, CB21 5XB, UK;1. Center for Musculoskeletal Surgery, Spine Surgery Unit, Charité – University Medicine Berlin, Germany;2. Department of Orthopaedics and Trauma Surgery, University Hospital Bonn, Germany;3. Department of Orthodontics, University Hospital Mainz, Mainz, Germany;4. Department of Orthopaedics and Trauma Surgery, University Hospital Dresden, Germany;1. Academic Department of Trauma and Orthopaedics, Floor D, Clarendon Wing, LGI, University of Leeds, Leeds, UK;2. NIHR Leeds Biomedical Research Center, Chapel Allerton Hospital, Leeds, UK;1. IEQ Clinica, Floor 3rd Office 3-4, 110 Street, Los Mangos Neighborhood, Valencia 2001, Venezuela;2. Valle de San Diego Medical Center, Floor 1st, Office: 18, Don Julio Centeno Avenue, El Morro 2 Neighborhood, San Diego District, Carabobo State, Venezuela;1. Department of Orthopaedic Surgery, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246 Hamburg, Germany;2. Department of Osteology and Biomechanics, University Medical Center Hamburg-Eppendorf, Lottestraße 59, 22529 Hamburg, Germany;3. Department of Medical Biometry and Epidemiology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246 Hamburg, Germany;1. Shanghai Key Laboratory of Orthopaedic Implant, Department of Orthopaedic Surgery, Shanghai Ninth People’s Hospital Affiliate to Shanghai Jiao Tong University School of Medicine, Shanghai, China;2. Shanghai Sixth People’s Hospital Affiliate to Shanghai Jiao Tong University School of Medicine, Shanghai, China |
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| Abstract: | AimThis study compares the outcome of intracapsular hip fracture fixation using the Targon Femoral Neck (TFN) locking plate system with the standard fixation using cannulated cancellous screws (CCS).Patients and methodAnalyses of a prospectively collected data of all patients treated for intracapsular hip fractures using the TFN system and CCS at our department over a period of 28 years. Baseline characteristics and specific outcome measures where compared. The primary outcome measure was fracture revision during the 1st year. Secondary outcome measures were fracture complications, any revision surgery, mortality and mobility status at one year after surgery.ResultsA total of 2004 fractures were included, a third (n = 725, 36.2%) were treated using the TFN system. There were higher rates of non-union (19.5% vs 9.5%) and revision surgery (19% vs 9%) during the first year in the CCS cohort. Revision surgery was also higher in the same group during the whole of the follow-up period (22.2% vs 14.9%). The first year’s mortality rate was higher in the CCS cohort (21.1% vs 17.5%) but the reduction in mobility and mobility scores was the same in both cohorts.ConclusionThis study includes the largest cohort of cases treated for intracapsular hip fractures using the TFN system. It demonstrated that the TFN system was associated with lower rates of non-union, revisions and re-operations for any cause. |
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| Keywords: | Intracapsular hip fracture Targon femoral neck locking plate TFN system Cannulated cancellous screws |
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