Comparative study of multiple cancellous screws versus sliding hip screws in femoral neck fractures of young adults

作     者：Mayank Gupta Rajendra Kumar Arya Satish Kumar Vijay Kumar Jain Skand Sinha Ananta Kumar Naik Gupta Mayank;Arya Rajendra Kumar;Kumar Satish;Jain Vijay Kumar;Sinha Skand;Naik Ananta Kumar

作者机构：Department of Orthopedics Post Graduate Institute of Medical Education and Research Dr Ram Manohar Lohia Hospital New Delhi 110001 India 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2016年第19卷第4期

页      面：209-212页

核心收录：

学科分类：10[医学] 

主　　题：Femoral neck fractures Bone screws Young adult 

摘      要：Purpose： Both cannulated cancellous screw （CCS） and sliding hip screw （SHS） are used in femoral neck fracture fixations, hut which is superior is yet to be determined. This study was aimed to compare the clinicoradiological outcome of femoral neck fracture treated with SHS or CCS in young adults. Methods： Adults （16-60 years） with femoral neck fracture were divided into Group I fixed with SHS and Group 2 fixed with three CCS after closed reduction. Pain relief, functional recovery and postoperative radiographs at 6 weeks, 3 months, 6 months and then yearly for upto 4 years were analyzed. Results： Group 1 （n = 40） achieved radiological union at mean of Z6 months, with the union rate of 8Z5% （n = 35）, avascular necrosis （AVN） rate of 7.5% （n - 3） and mean Harris Hip Score （HHS） of 86.15 at the end of 4 years. In Group 2 （n = 45） these parameters were union at Z1 months, union rate of 82.22% （n = 37）, AVN rate of 6.67% （n = 3） and HHS of 88.65. Comparative results were statistically insignificant. Conclusion： There is no significant difference in clinicoradiological outcome between the two implants.