Cannulated Screw Fixation For Femoral Neck Fractures: A 5-year Experience In A Single Institution
- Author:
Khoo CCH
;
Amber Haseeb
;
Vivek Ajit Singh
- Publication Type:Journal Article
- Keywords:
femoral neck fractures;
screw fixation
- MeSH:
Femoral Neck Fractures
- From:Malaysian Orthopaedic Journal
2014;8(2):14-21
- CountryMalaysia
- Language:English
-
Abstract:
Cannulated screw fixation is a widely accepted surgical
method for management of fractures of the neck of femur
especially in patients with poor premorbid conditions,
minimally displaced fractures and those from a younger
age group. A five year retrospective study was carried
out in 53 consecutive patients between 2006 to 2010 to
determine the pattern of injuries, management, outcomes
and the associated predictive factors.All the patients
underwent cannulated screw fixation, with 37 (69.8%)
having had surgery within 24 hours and the remaining
16 (30.2%) 24 hours after the initial injury. All patients
were followed up to union of fractures and complications
thereafter if any. Good outcome was observed in 43
(81.1%) patients leaving only 10 (18.9%) patients with a
poor outcome, of whom nine developed avascular necrosis
(90%) and one non-union (10%). We found no significant
relationship between the incidence of avascular necrosis
and age of patient, fracture displacement, numbers of
cannulated screws used, fracture reduction acceptability
and anatomical location of the fracture. The time interval
from injury to surgery and the presence of posterior
comminution did seem to influence the rate of avascular
necrosis but due to the small number of patients, was not
statistically significant.We conclude that cannulated screw
fixation is a viable option of treatment for fractures of the
neck of femur.
- Full text:P020150525393533730537.pdf
