The effect of Cinnopar on reducing the complications of femoral neck fracture in people aged 40 to 60 old

Document Type : Original Article

Authors

1 Professor, Department of Orthopaedics and Traumatology, faculty of medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

2 Orthopedic resident , Department of Orthopaedics and Traumatology, faculty of medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

3 Assistant Professor, Department of Orthopaedics and Traumatology, faculty of medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

4 Associate Professor, Department of Radiology, faculty of medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

5 Orthopedic resident, Department of Orthopaedics and Traumatology, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran

Abstract

Introduction: The femoral neck fracture is a disabling injury that disrupts the patient's health. The fracture healing is long and sometimes unreliable. Therefore, the finding of fracture repair aids that accelerates healing speed and reliability helps in the healing process. The parathyroid hormone is a good option as a systematic mediator in calcium and bone metabolism. The study aimed to use Cinnopar to improve and accelerate rate of the healing process and reduce complications of femoral neck fractures in people aged 40 to 60 years.
Methods: In the study, 34 femoral neck fracture patients were included in two groups as receiving Cinnopar group(N=17) and not receiving Cinnopar group(N=17). The patients were imposed with 20 micrograms of injected Cinnopar subcutaneously once a day, and the other group received only routine postoperative drugs.
Results: The patients with no return to activity was two (33/13%) in the receiving Cinnopar group. There were five patients (33/33%) with no return to the activity for the not-receiving Cinnopar group.  The return to activity was compared in both groups three months after the operation, and the two groups were significantly different (p-value = 0.03).  The results of the radiographic union showed ten unions (66.66%), three incomplete unions (20%), and two non-unions (13.33%) in the receiving Cinnopar group at three months after the operation. There were eight unions (53.33%), four incomplete unions (26.66%), and three non-union (20%) in the not receiving Cinnopar group, and the two groups were similar.
Conclusion: Receiving Cinnopar immediately after femoral neck fracture surgery can reduce pain. It can also prevent non-return to activity during the first three months after surgery and improve femoral neck union.

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