Atul Bandi¹*, Fatema Abdulmohsen¹, Yusuf Bukhammas², Faisal Falamarzi², Khaled Al Kuwari³ and Maged Mostafa⁴

¹Senior Resident Orthopaedic Department, King Hamad University Hospital, Kingdom of Bahrain
²Resident Orthopaedic Department, King Hamad University Hospital, Kingdom of Bahrain
³Consultant and Head of Orthopaedic Department, King Hamad University Hospital, Kingdom of Bahrain
⁴Senior Consultant Orthopaedic Department, King Hamad University Hospital, Kingdom of Bahrain

*Corresponding Author: Atul Bandi, Senior Resident Orthopaedic Department, King Hamad University Hospital, Kingdom of Bahrain.

Received: September 04, 2023; Published: September 15, 2023

Abstract

Aim: Selection of an appropriate modality of treatment is an essential step in management of stable femoral neck fractures. While dealing with a femoral neck fracture, there is often an opinion to go for operative management. In this study we evaluate the efficacy and safety of cancellous screw fixation in the older population, alongside comparing the post-operative outcomes and complications of three parallel versus inverted triangle configuration of screws.

Materials and Methods: This is a retrospective observational study of older patients with stable femoral neck fracture who underwent fixation with cancellous screws between January 2016 to January 2021. Data was analyzed using statistical tools.

Results: A total of twenty-seven patients were included in the study and fixed with cancellous screw, 12 (44.4%) underwent fixation with three parallel screws whereas 15 (55.6%) were fixed with inverted triangle configuration. All patients achieved union, functional outcome at 24 months using Harris hip score was excellent in 12 (44.4%) patients, good in 5(18.5%), fair in 8 (29.6%) and 2 (7.4%) had poor outcome. Three (11.1%) patients had post-operative complications, one had hip arthritis and 2 (7.4%) developed Avascular Necrosis (AVN) of the femoral head. Significant (p=0.04) correlation was found between three parallel screw fixation and post-operative complications.

Conclusions: Although all patients achieved union in our study, three parallel screw pattern showed significant increase in post-operative complication rate. The inverted triangle pattern showed a more stable construct with less femoral neck shortening and less rate of AVN, without significant correlation.

Keywords: Femoral Neck; Stable Fracture; Cancellous Screw; Elderly; AVN; Union

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Citation

Citation: Atul Bandi., et al. “Outcome of Screw Fixation for Stable Femoral Neck Fractures in Old Population". Acta Scientific Orthopaedics 6.10 (2023): 40-47.

Copyright

Copyright: © 2023 Atul Bandi., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.