Key result
Cannulated cancellous screw fixation in children with femoral neck fractures achieved a mean Harris Hip Score of 93.27 at 1 year, with non-union occurring in 3.7% and avascular necrosis in 7.4%.
Why the study?
Cannulated screw fixation is commonly used for femoral neck fractures in children, but research-based data regarding outcomes and complications in this population are limited.
Observational (n=27)
Yes
Cannulated cancellous screw fixation is an effective method for treating displaced femoral neck fractures in children, demonstrating good functional outcomes and low complication rates.
Supports cannulated screws in pediatric femoral neck fractures; leaves open need for RCTs to confirm outcomes.
Background: Cannulated screw fixation (CSF) is a widely used surgical procedure for the management of fractures of the neck of femur. Although the frequencies of such occurrence are not so high among children in every year surgeons use this fixation methods in treating children in a good number. We have very few research-based data regarding the outcomes and complications in children treated by cannulated cancellous screw for femoral neck fracture. Aim of the study: The aim of the present study was to assess the outcomes and complications in children treated by cannulated cancellous screw for femoral neck fracture. Methods: This prospective observational study was conducted in the Rahat Anwar Hospital, Rayal City Hospital, Arif Memorial Hospital, Barisal and in the Orthopedics surgery department of Sher-e-Bangla Medical College (SBMC) Hospital, Barisal, Bangladesh during the period from January 2016 to December 2020. In total 27 children with femoral neck fracture selected for cannulated screw fixation were enrolled as the study subjects. Only cases with displaced intracapsular hip fractures (Garden type 3–4) were included, Data were processed, analyzed and disseminated by MS Word and SPSS programs as per need. Results: In this study finally the mean (±SD) length of follow-up period was 22.13 ± 3.77 months. As post-operative status, according to the mean Garden’s alignment index, anteroposterior and lateral scores were 167.86 ± 5.12 and 172.14 ± 6.13 degree respectively. Postoperative mean Harris Hip Scores at 6 weeks, 3 months, 6 months and 1 year after surgery were found 58.77 ± 4.45, 79.06 ± 3.65, 89.61 ± 5.66 and 93.27 ± 5.81 respectively. At the post-operative period, the mean vertical femoral neck shortening was found 5.11 ± 1.88 mm and the mean horizontal femoral neck shortening was found 5.06 ± 1.79 mm. In this study, as complications non-union and avascular necrosis were found in 1 and 2 patients respectively. Besides these, for 1 patient, 2nd time ........
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Uddin et al. (2021) conducted an observational in Femoral neck fracture (n=27). Cannulated cancellous screw fixation was evaluated on Harris Hip Score at 1 year. Cannulated cancellous screw fixation in children with femoral neck fractures achieved a mean Harris Hip Score of 93.27 at 1 year, with non-union occurring in 3.7% and avascular necrosis in 7.4%.
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