A comparative study between multiple cannulated screws and dynamic hip screw for fixation of femoral neck fracture in adults: radiological and functional outcomes

Document Type : Original Article

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Department of orthopedic surgery, Faculty of Medicine, Aswan University

Abstract

Abstract
Background: Management of Neck Of Femur fractures is associated with high rates of complications , The most common method of fixations are the Dynamic Hip Screw and Cannulated screws .
Aim and objectives: to evaluate and compare the result two surgical technique regarding the complications & the functional outcome .
Subjects and methods : Thirty patients with femoral neck fractures were enrolled in the study and divided into two groups. Cannulated screw treatment for group A and Dynamic Hip Screw treatment for group B. This prospective study was conducted at the orthopedic department of Aswan University Hospital. Functional outcomes is determined by the Harris Hip Score at the final follow-up
Results: The union time was significantly longer in the Cannulated Screw group (5.4 ± 1.33 months) than the Dynamic Hip Screw group (4.5 ± 0.52 months). no significant differences between the two groups regarding the nonunion , avascular necrosis , & the Harris Hip Score .
Conclusion: the Dynamic Hip Screw has the advantage of rapid union rate and more stable fixation
Keywords : Dynamic Hip Screw , Cannulated Screw , Neck of Femur .

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