Radiological outcome of non-displaced femoral neck fracture in younger patients using cannulated screws fixation technique.

Abstract

Introduction: Femoral neck fractures are known as challenging and complicated trauma in orthopedic surgeries. Multiple cannulated screws techniques have been commonly used methods for the management of these fractures.
Objective: To evaluate the radiological outcome of the non-displaced type of femoral neck fractures among younger patients by applying cannulated screws fixation technique.
Methodology: This prospective study was conducted from October 2018 to March 2020 at Orthopedic Surgery Department, Liaquat University Hospital, Hyderabad /Jamshoro. Non-random consecutive sampling technique was applied for participant selection. All the patients belong to either gender between age 25 and 45 years presented in the orthopedic surgery outpatient unit or emergency with non-displaced fracture type I & II of neck of femur classified on Garden variety classification were included in the study. All the patients underwent surgery using cannulated screws fixation technique. The radiological outcome was evaluated based on non-union and avascular necrosis using post-operative radiographs and MRI of the hip joint. The collected data was analyzed using SPSS ver. 23.
Results: Among 258 patients, 97(61.39) were males and 59(37.34) were females. The mean age of patients was 34.79±8.22 years while the mean span of fracture was 3.54±1.47 days. Non-union was observed in 12.94% of patients and avascular necrosis was observed in 6.47% of cases. Significant association of non-union was observed with age and duration of fracture.
Conclusion: Neck of femur fracture fixation through cannulated hip screws remains an effective option with limited or minimal postoperative complications among younger patients.
Keywords: Cannulated hip screws, Radiological, non-displaced fractures.