RADIOLOGICAL RESULTS OF TWO VS. THREE CANNULATED SCREW TREATMENT FOR FEMORAL NECK FRACTURES IN ADULTS
Main Article Content
Keywords
Femoral neck fracture, cannulated screws, fracture healing, radiological outcomes, adult orthopedic treatment
Abstract
Introduction: Femoral neck fracture is not rare particularly in young people, and there are often surgical screw placement methods, such as using cannulated screws. The controversy still persists in the clinical practice whether two compared to three cannulated screw techniques.
Objectives: This systematic review aims at comparing the radiological outcomes of using two and three-cannulated screw techniques for treating femoral neck fracture in adults regarding fracture healing, complication implication, and postoperative function.
Materials and Methods: The current work is a retrospective study was conducted at multiple centers including Khyber Teaching Hospital, Peshawar and Department of Orthopaedics, Foundation University and Medical College Islamabad, Pakistan in the duration from November 2023 to October, 2024 with 150 patients who have femoral neck fractures admitted in hospital. Patients were divided into two groups. One got two screws passed through the cannulate, and the other got three screws passed through the cannulate. The patients’ progression was evaluated through radiographic and clinical examination follow-up through X-rays.
Results: The three-screw group received a shorter fracture healing time with a lesser complication rate and better screw stability as compared to the two-screw group. However, the differences were not by far statistically significant.
Conclusion: Surgical stabilization using three cannulated screws documented slightly better results than with two screws, but both methods are still effective in the management of femoral neck fractures in adults.
References
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Muhammad Zahid Siddiq
Assistant Professor, Department of Orthopaedics Surgery, Nawaz Sharif Medical College, Gujrat, Pakistan
Shahid Iqbal
District Orthopaedic Surgeon, Department of Orthopaedics, Mian Rashid Hussain Shaheed Memorial Hospital (MRHSM) Pabbi, Nowshera, Pakistan
Naveed Gul
Assistant Professor of Orthopaedic Surgery, Fellow AO Trauma (UK), Rawal Institute of Health Sciences Islamabad, Pakistan
Muhammad Shehryar Zia
Senior Registrar, Department of Orthopaedics, Foundation University and Medical College Islamabad, Pakistan
Kamran Asghar
Associate Professor, Department of Orthopaedics, Foundation University and Medical College Islamabad, Pakistan
Zamin Abbas
Senior Registrar, Department of Orthopedic Surgery, HBS General Hospital, Pakistan