FRACTURE NECK OF FEMUR IN YOUNG ADULTS MANAGED WITH CANNULATED CANCELLOUS SCREWS
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Keywords
cannulated cancellous screws, young adult, fracture neck of femur
Abstract
Femur neck fractures are always a great challenge to orthopaedic surgeons and remain inexplicable fractures in terms of management and outcome. In addition to the relative rarity of the injury, there has been a high incidence of avascular necrosis and nonunion reported in the literature. This study was to know the outcome of cannulated cancellous screw fixation in the fracture neck of femur in young patients. This is both a retrospective and prospective study of twelve cases over 5 years with a minimum follow-up of 2 years
As per the inclusion and exclusion criteria, cases presented within 24 hours were operated immediately with closed reduction and cannulated cancellous screws in an inverted triangle configuration. Pot operatively mobilization and weight bearing were done according to the radiological signs of healing, we had only one avascular necrosis at one and half-year follow-up patients were evaluated for functional outcomes for a minimum period of 2 years, and functional outcomes were assessed by using modified Harris hip score. The score at 24 months was excellent in 50%, good in 25%, medium in 16.6 %, and poor in 8.3% with good functional outcomes. We achieved union in all the twelve patients. Our average union time was 11.6 weeks.
Femoral neck fracture fixed with cannulated cancellous screws gives good results in young patients with minimal complications. The key factors in treating femoral neck fractures should include early surgery with anatomic reduction and stable internal fixation and delay in complete weight bearing till union.
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Ravikumar K
Professor & Unit Head, Department of Orthopaedics, MVJ MC&RH, Bangalore
Eswara Reddy G
Associate Professor, Department of Orthopaedics, MVJ MC&RH, Bangalore
Adarsh Vajrangi
Assistant Professor, Department of Orthopaedics, MVJ MC&RH, Bangalore
Nagappa
Postgraduate, Department of Orthopaedics, MVJ MC&RH, Bangalore
Gurmeet
Postgraduate, Department of Orthopaedics, MVJ MC&RH, Bangalore
Chendan
Postgraduate, Department of Orthopaedics, MVJ MC&RH, Bangalore