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Analysis Study Research Paper | Orthopaedic Surgery | India | Volume 13 Issue 9, September 2024 | Rating: 5.1 / 10
Retro - Prospective Comparative Study of Internal Fixation of Intra Capsular Neck of Femur Fracture by Dynamic Hip Screw Plate and Cannulated Cancellous Screw
Dr Rudraraj Jadeja, Dr Shantanu Deshpande, Dr Rohit Kulkarni, Dr Nishant Mirchandani, Dr Anikrit Srivastava
Abstract: Background: Dynamic hip screw (DHS) with or without derotation and cannulated cancellous screw (CCS) fixation are two common management strategies for intracapsular neck femur fractures. Methods: A total of 64 patients were included, of which 34 were treated with DHS and 31 with CCS. The study assessed various parameters such as operative time, intraoperative blood loss, mobilization protocols, fracture union time, loss of reduction, incidence of avascular necrosis and its complications, and Harris hip score. Results: The mean age of patients in the CCS group was significantly lower than that of the DHS plating group, without significant difference in gender distribution, side of fracture, co - morbidities, operative time, blood loss, radiological union time, Harris Hip Score, and complications. The majority of patients in both groups achieved radiological union beyond 22nd weeks till 30th weeks, and non - union was reported in 3% of patients in DHS group. Conclusion: The study suggests that both CCS fixation and DHS plating are equally effective for treatment of intracapsular neck of femur fractures, and the choice of surgical procedure should be based on patient - specific factors.
Keywords: hip fracture, femur fracture, dynamic hip screw, cannulated cancellous screw, surgical outcomes
Edition: Volume 13 Issue 9, September 2024,
Pages: 1035 - 1043