Evaluation and Outcome of Management of Intracapsular Neck of Femur Fracture Treated With Cannulated Cancellous Screw Fixation
Journal Title: Journal of Medical Science And clinical Research - Year 2014, Vol 2, Issue 12
Abstract
Background: Fractures of neck of femur have always presented great challenges to the orthopeadic surgeons. In many ways today the unsolved fracture as far as treatment and results are concerned.Fractures of neck of femur are usually entirely intracapsular.Results depend upon the extent of injury and adequacy of reduction and fixation.Fixation with cannulated cancellous screws is usually adequate for femoral neck fractures.Lateral cortex plays a very important role in screw fixation Materials And Methods: This study was conducted in Narayana Medical College and Hospital, Nellore, AP from Nov 2012 to Oct 2014.The patients with intracapsular fracture neck of femur are evaluated with preoperative x-rays of the concerned hip joints both in arterio posterior and lateral views and their outcome post operatively after fixation with cancellousscrews.The outcome is evaluated in terms of pain relief,extent of ambulation achieved after surgery.The classifications we followed are Pauwells and Gardens classification of fracture neck of femur. The patient will be followedup to oneyear to assess the functional outcome. Results: A good result was obtained in 65.38% of the patients, excellent in 23.07%, fair in 3.84% and poor result in 7.69% of the patients.Complications such as Nonunion & avascular necrosis in one case,Non-union and Extrusion of screws in one case, cut through of screws into articular surface leading to painful joint in one case.Most of the cases of intracapsular neck of femur were in the age group of 31 — 40 years.There was male preponderance as shown in this study (69%). Conclusion: By the usage of multiple cannulatedcancellous lag screws, compression effect at the fracture site is achieved; it also avoids redisplacement and rotations. The implant occupies less volume in the small sized femoral necks of South Indian Patients allowing better osteosynthesis of intracapsular fracture neck of femur.Multiple cannulated cancellous screw fixations for intracapsularfracture neck of femur are an easy, safe & useful procedure with encouraging results.
Authors and Affiliations
Krishnamurthy M. O
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