A study on the functional outcome of fracture neck of femur managed with cannulated cancellous screws

Abstract

Background: Hip fractures are common, they comprise about 20% of orthopedic trauma. Femoral neck fractures almost account for 50% of all the fractures around hip. Fracture neck of femur still are unsolved fractures. It is a fracture of fragility due to osteoporosis in elderly, in younger age group, it results from a high-energy trauma sustained commonly in a road traffic accident.Aims and Objective: To study the functional outcome in patients treated with cannulated cancellous screws for neck of femur fracture.Materials and Methods: In this prospective study, 30 patients with neck of femur fractures were treated with cannulated cancellous screws at R.L. Jalappa Hospital, Kolar during a period of September 2016 to September 2018. Patients with pathological fractures, osteoarthritis of hip and pediatric patients were excluded from the study. Patients were followed up for a period of 6 months and functionally assessed using Modified Harris Hip score.Results: 21 were males & 9 females with mean age of 41.3 years. RTA was cause of injury in most patients. Mean duration of union was 15 weeks. Most of patients had slight to no pain, most of the patients could perform their daily activities without any restriction and all patients had good range of motion without any deformity. Conclusion: At the end of the study we conclude that cannulated cancellous screws provide adequate fracture fixation, stability, strength, early mobility and excellent union rate of neck of femur fractures.