A STUDY TO EVALUATE CLINICAL OUTCOMES IN PATIENTS OF AGE BELOW 50 YEARS WITH INTRACAPSULAR FRACTURE OF NECK OF FEMUR TREATED BY CANNULATED CANCELLOUS SCREW FIXATION

Abstract

Intracapsular femoral neck fractures are commonly seen in the elderly population after a trivial fall. However, femoral neck fractures in adults younger than 50 are uncommon and often result from high-energy trauma. They account for only 2-3% of all femoral neck fractures. It is crucial to understand and contrast the differences between elderly and young adult patients to evaluate and treat femoral neck fractures. Characteristic differences are seen for the osseous and vascular anatomy, the mechanism of injury, associated injuries, fracture pattern, and treatment goals. Femoral neck fractures in young adults are associated with higher incidences of femoral head osteonecrosis and nonunion. The rate of osteonecrosis reported in the literature ranges from 12-86% in young patients after femoral neck fracture. This devastating complication may lead to the collapse of the femoral head and subsequent osteoarthritis. Reoperation and salvage procedures such as osteotomy have high failure rates, and arthroplasty procedures are not ideal given the young age and higher activity levels. This study attempts to evaluate the internal xation of intracapsular fracture of the neck of the femur with multiple cannulated cancellous lag screws. Patients selected for this surgery were between 15 to 50 years old with intracapsular fracture of neck of femur who were admitted and treated in Kurnool Medical College and Hospital, Kurnool, A.P., from October 2019 to October 2021.