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Orthopaedic Proceedings
Vol. 95-B, Issue SUPP_16 | Pages 88 - 88
1 Apr 2013
Kawakami Y Hiranaka T Hida Y Chinzei N Uemoto H Doita M Kurosaka M Tsuji M
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Introduction

In most cases of stable type medial femoral neck fracture and some cases of dislocated medial femoral neck fracture, internal fixation was undertaken. Dual SC Screw (DSCS) System is an internal fixation device which has sliding mechanism and preventing mechanism of back out of the screw. The purpose of this study is to evaluate the results and complication of medial femoral neck fracture treated with DSCS.

Methods

Fifty two patients operated for fractures of the medial femoral neck with DSCS were identified as the study population. All patients followed up at least 2years. Outcome measures included the period of bone union, revision surgery, operating times and clinical symptoms and complication.


Orthopaedic Proceedings
Vol. 95-B, Issue SUPP_16 | Pages 55 - 55
1 Apr 2013
Kawakami Y Hiranaka T Niikura T Matsuzaki T Hida Y Uemoto H Doita M Tsuji M Kurosaka M
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Introduction

Plate fixations have been recommended for dislocated clavicle fractures. However, existing plates are inadequate for morphological compatibility with the clavicle. The aim of this study is to measure the anatomical shape of the clavicle and to compare the radiographical and clinical outcomes of our tree-dimensional (3D) reconstruction plate with conventional straight plate.

Methods

Chest CT image of 15 patients with normal clavicle were analyzed. Their clavicles were reconstructed and measured their anatomical variables. A hospital-based case-control study was conducted, including a consecutive series of 52 patients with displaced midshaft clavicle fractures. 3D reconstruction plate was used for 26 patients and another 26 patients were treated with conventional straight plate. Outcome measures included the period of bone union, revision surgery, operating times and clinical symptoms using DASH score.


Orthopaedic Proceedings
Vol. 95-B, Issue SUPP_16 | Pages 86 - 86
1 Apr 2013
Kuroda Y Hiranaka T Hida Y Matsuda S Uemoto H Doita M Tsuji M
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Aims

Dual SC Screw (DSCS) is a novel fixation device for the femoral neck fracture. DSCS is comprised of screw and barrel allowing sliding of the screw and preventing protrusion of the screw end. Two types of the barrels are available, threaded barrel (TB) and plate barrel (PB). Ordinarily, both barrels are implanted. Concept of the design is that the PB contributes stability to the screw against the varus force of the femoral head while the additional screw with TB prevents rotational deformity. The aim of this study was to represent clinical results after DSCS operation in patients with femoral neck fracture.

Method

Fifty-one patients with femoral neck fractures treated using DSCS and at least 3 months follow up are included and their clinical was evaluated.