Result of cancellous screw fixation in fracture neck of femur in adults

Abstract

Background: Cancellous screw fixation is commonly performed procedures for the management of fracture neck of femur in adults. Cancellous screw fixation is associated with high percentage of excellent and good results and is associated with reduced invasion and short operative time.Objectives 1. To study the incidence of fracture neck of femur according to various grades of Garden’s classification.2. To study the quality of life after screw fixation using Modified Harris Hip Scoring (MHHS) system.3. To evaluate the results of screw fixation in various grades of Garden’s classification. Patients and Methods: Adult patients ranging from 20-50 years those suffering from fracture neck of femur were treated by cancellous screw fixation. The study was carried out to evaluate the immediate and early results of cancellous screw fixation for intracapsular fracture neck of femur in young adults.Results: Study conducted on 50 patients of both sex and age between 20 yrs and 50 yrs within the period of 2 years those suffering from fracture neck of femur and treated by cancellous screw fixation and follow up was done at 6 weeks, 3 months, 6 months and 9 months and Modified Harris Hip Score was noted. Data was tabulated and statistically analysed.Conclusions: Our study showed 76% having excellent results, 18% having good results, 2% having fair and 4% poor results. It was found that there is correlation between initial displacement and the final functional scores. In our study, undisplaced fractures (grade I and II) consistently showed excellent and good results whereas displaced fractures (grade III and IV) were associated with fair and poor results also.