Cannulated cancellous screws fixation in intracapsular fracture neck femur: a study with an emphasis on result of osteosynthesis

Abstract

<p class="abstract"><strong>Background:</strong> Fracture neck of femur has always presented a great challenge to the orthopaedic surgeons. It is rightly called as “unsolved fracture” as far as treatment and results are concerned. Results generally depend upon time period elapsed from fracture to surgery, adequacy of reduction and fixation. Fixation with cannulated cancellous screw is usually adequate for femoral neck fractures. The aim of the study was to analyse the results of treatment of fracture neck of femur with cannulated cancellous screw fixation and to compare the results with others in the literature using the same modality. </p><p class="abstract"><strong>Methods:</strong> 25 patients with intra capsular neck of femur fracture were followed for a period of two years post-surgery and their functional outcome was assessed based upon harris hip scoring system.<strong></strong></p><p class="abstract"><strong>Results:</strong> According to harris hip scoring system, we had excellent results in 72% cases, good in 16% cases, fair in 8% and poor in 4%. One patient went into non-union and two developed avascular necrosis of femoral head.</p><p><strong>Conclusions:</strong> Management of intracapsular fracture neck of femur with cannulated cancellous screw fixation is a very good method of treatment being a surgically easy procedure. Use of multiple cannulated cancellous screw have a compression effect at the fracture site. It also avoids re displacement and rotation.</p>

A study on the functional outcome of fracture neck of femur managed with cannulated cancellous screws

“…The functional results of the present study were comparable with that of Vijay V et al with 73.33% excellent results, 20% having good results and fair results in 6.66%. Poor (%) Vijay V [12] . 18 (72) 4 (16) 2 ( 8) 1 (4) Christopher Koo Chee Han et al [11] .…”

“…The findings in our stuidy are comparable to those in a study by Christopher Koo Chee Han et al [40] . [12] 25 50 (20-90) Dincel Y M et al [13] 67 46.5 (18-75) Christopher Koo Chee Han et al [11] 53 42.1 (6-91) Present study 30 41.3 (24-65)…”

“…The findings are comparable to the studies by Christopher Koo Chee Han et al and Vijay V. The male preponderance in our series can be accredited to the cause of fracture mainly being RTA. [12] 30:34 2.57:1 Dincel Y M et al [13] 39:28 1.3:1 Christopher Koo Chee Han et al [11] 39:14 2.7:1 Present study 21:9 2.33:1…”

“…The most common type of injury was type II, 15 cases (50%) followed by type III, 8 cases (26.66%). [12] . 11 14 (56%) Dincel Y M et al [13] .…”

“…In our study, most of the cases were operated within the first 12 hours of the trauma, 18 cases (60%). [12] Nil 25 (100) Dincel Y M et al [13] 67 (100) Nil Christopher Koo Chee Han et al [11]…”