A CLINICAL STUDY OF AO CANNULATED CANCELLOUS SCREWS FIXATION FOR GARDEN’S TYPE I AND TYPE II FRACTURE NECK OF FEMUR IN YOUNG ADULTS

Authors

  • VINOD KUMAR C Department of Orthopaedics, Smt B. K. Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth (An Institution Deemed to be University), Vadodara, Gujarat, India. https://orcid.org/0000-0001-8186-2304
  • RUDRAMUNI AK Department of Orthopaedics, J. J. M. Medical College, Davanagere, Karnataka, India. https://orcid.org/0000-0001-8186-2304
  • SUDHIR KUMAR RAWAT Department of Orthopaedics, Smt B. K. Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth (An Institution Deemed to be University), Vadodara, Gujarat, India.

DOI:

https://doi.org/10.22159/ajpcr.2022.v15i11.45349

Keywords:

fracture neck of femur, Garden's Type I and II, AO cannulated cancellous screws, young adults

Abstract

Objectives: The objectives of this study were to study the functional outcome of surgically managed type I and II fracture neck of the femur by AO cannulated cancellous screws in young adults.

Methods: A prospective study of 20 cases of type I and II Garden’s fracture neck of femur in young adults managed surgically by AO cannulated cancellous screws fixation in Chigateri Government Hospital and Bapuji Hospital, between September 2014 and September 2016 satisfying the inclusion and exclusion criteria which were studied. The functional outcome was evaluated using the Modified Harris hip scoring system.

Results: In our study, we achieved 85% excellent results, 10% good, and 5% fair results. We had 95% satisfactory results in terms of the functional outcome. The results were comparable to other studies.

Conclusion: Intracapsular fracture neck of femur in young adults treated surgically by closed reduction and 6.5 mm AO cannulated cancellous screw fixation gave excellent to good functional outcome in 95%. Hence, this would be the best procedure for intracapsular fracture neck of the femur, and this is going to stay for an extended period in orthopedic practice.

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References

Lavelle DG. Fractures and dislocations of the hip. In: Canalle’s T, Beaty JH, editors. Campbell’s Operations Orthopaedics. Pennsylvania: Mosby Elsevier; 2008. p. 3237-308.

Leighton RK. Fractures of the neck of femur. In: Bucholz RW, Heckman JD, Court brown CM, editors. Rockwood and Green’s Fractures in Adults. Philadelphia, PA: Lippincott Williams and Wilkins; 2006. p. 1753-92.

Protzman RR, Burkhalter WE. Femoral-neck fractures in young adults. J Bone Joint Surg Am 1976;58:689-95.

Swiontkowski MF, Winquist RA, Hansen ST Jr. Fractures of the femoral neck in patients between the ages of twelve and forty-nine years. J Bone Joint Surg Am 1984;66:837-46.

Lucie RS, Fuller S, Burdick DC, Johnston RM. Early prediction of avascular necrosis of the femoral head following femoral neck fractures. Clin Orthop 1981;161:207-14.

Parker MJ, Pryor GA. Treatment of intracapsular fractures. In: Hip Fracture Management. London: Blackwell Scientific Publications; 1993. p. 88-160.

Khoo C, Haseeb A, Singh A. Cannulated screw fixation for femoral neck fractures : A 5-year experience in a single institution. Malays Orthop J 2014;8:14-21.

Ly TV, Swiontkowski MF. Treatment of femoral neck fractures in young adults. J Bone Joint Surg Am 2008;90:2254-66.

Gautam VK, Anand S, Dhaon BK. Management of displaced femoral neck fractures in young adults (a group at risk). Injury 1998;29:215-8.

Broos PL, Vercruysse R, Fourneau I, Driesen R, Stappaerts KH. Unstable femoral neck fractures in young adults: Treatment with the AO 130-degree blade plate. J Orthop Trauma 1998;12:235-9; discussion 240.

Bout CA, Cannegieter DM, Juttmann JW. Percutaneous cannulated screw fixation of femoral neck fractures: The three point principle. Injury 1997;28:135-9.

Szita J, Cserháti P, Bosch U, Manninger J, Bodzay T, Fekete K. Intracapsular femoral neck fractures: The importance of early reduction and stable osteosynthesis. Injury 2002;33(Suppl 3):C41-6.

Estrada LS, Volgas DA, Stannard JP, Alonso JE. Fixation failure in femoral neck fractures. Clin Orthop Relat Res 2002;399:110-8.

Heetveld MJ, Raaymakers EL, Luitse JS, Gouma DJ. Rating of internal fixation and clinical outcome in displaced femoral neck fractures: A prospective multicenter study. Clin Orthop Relat Res 2007;454:207-13.

Raj PK, Nuuman JA, Pattathil AS. Bone impregnated hip screw in femoral neck fracture: Clinicoradiological results. Indian J Orthop 2015;49:187-92.

Jain R, Koo M, Kreder HJ, Schemitsch EH, Davey JR, Mahomed NN. Comparison of early and delayed fixation of subcapital hip fractures in patients sixty years of age or less. J Bone Joint Surg Am 2002;84:1605-12.

Walker E, Mukherjee DP, Ogden AL, Sadasivan KK, Albright JA. A biomechanical study of simulated femoral neck fracture fixation by cannulated screws: Effects of placement angle and number of screws. Am J Orthop (Belle Mead NJ) 2007;36:680-4.

Published

07-11-2022

How to Cite

C, V. K., R. AK, and S. KUMAR RAWAT. “A CLINICAL STUDY OF AO CANNULATED CANCELLOUS SCREWS FIXATION FOR GARDEN’S TYPE I AND TYPE II FRACTURE NECK OF FEMUR IN YOUNG ADULTS”. Asian Journal of Pharmaceutical and Clinical Research, vol. 15, no. 11, Nov. 2022, pp. 52-55, doi:10.22159/ajpcr.2022.v15i11.45349.

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