A comparision and analysis of dynamic hip screw v/s multiple cannulated cancellous screws for neck femur fractures in young Indian population

Abstract

Background: Femoral neck fractures are one of the problems in clinical treatment. The prognosis is uncertain. Currently, no internal fixation method is superior to other internal fixation methods in the treatment of femoral neck fractures. Therefore, the internal fixation system needs to be further explored. The aim of this study was to compare clinical outcomes of femoral neck dynamic Hip screw system and multiple cannulated compression screws in the treatment of femoral neck fractures. Methods: This randomized control trial was conducted in the Department of Orthopedics, SURAT Municipal Institute of Medical Science, Surat. Results: 6 months Post operatively Harris Hip score evaluations clearly state DHS as a superior implant to cancellous screws. Also, there was 1 fixation failure in DHS group whereas there were 3 fixation failure in Cannulated screw groups. The surgery duration, radiation time and blood loss were significantly low with cannulated cancellous screws. Conclusion: The results of present study support the hypothesis that DHS is a better implant than CC screws in management of fracture neck femur in young adults in pauwels type II and III in terms of functional outcome but complication rate does not depend on the implant selection, however a longer follow up will consolidate these results. Although the surgery duration, radiation time, blood loss and infection rate is more in DHS. It gives a better result than CC screws based on radiological union and functional status of the patients.