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- W4381057360 abstract "Introduction: Osteosynthesis of femoral neck fractures is related up to 46% rate of complications. The novel method of biplane double-supported screw xation (BDSF; Filipov's method) offers better stability using three medially diverging cannulated screws with two of them buttressed on the calcar. Biomechanically, the most effective component is the distal screw placed at steeper angle and supported on a large area along the distal and posterior cortex of the femoral neck following its spiral anterior curve. Thereby, BDSF achieves the strongest possible distal-posterior cortical support for the xation construct, which allows for immediate full weight-bearing. The Aim: aim of this study was to evaluate the functional and radiological outcome of femoral neck fractures treated by biplane double supported screw xation method. Materials And Methods: Subject of this study were 22 patients with displaced Garden III–IV femoral neck fractures treated with BDSF. Three 6.5-mm cannulated screws were laid in two medially diverging oblique planes. The distal and the middle screws were supported on the calcar. The distal screw had additional support on the posterior neck cortex. Results: The outcomes in 22 patients were analysed for minimum 6 months, maximum up to 24 months follow-up. Bone union occurred in 90% of the cases (18 patients). Rate of non-union was 10%. Rate of AVN was 12.1% (males 4.8%, females 13.9%, P = 0.12). Modied Harris hip score was 90.13 (range 10–100) Conclusion: By providing additional cortical support, the novel BDSF method enhances femoral neck fracture xation strength." @default.
- W4381057360 created "2023-06-18" @default.
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- W4381057360 date "2023-05-01" @default.
- W4381057360 modified "2023-09-25" @default.
- W4381057360 title "A PROSPECTIVE STUDY OF “FUNCTIONAL AND RADIOLOGICAL OUTCOME OF NECK OF FEMUR FRACTURE TREATED BY BIPLANE DOUBLE SUPPORTED SCREW FIXATION METHOD”" @default.
- W4381057360 doi "https://doi.org/10.36106/ijsr/8517645" @default.
- W4381057360 hasPublicationYear "2023" @default.
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