Key result
Fixation of femoral neck fractures in young adults using CC screws or SHS showed no significant difference in functional outcomes, but CC screws significantly reduced surgical duration and hospital stay.
Why the study?
Intracapsular femoral neck fractures in young patients require emergency fixation to prevent avascular necrosis, but whether CC screw or SHS fixation provides better functional outcomes was unclear.
Does cannulated cancellous screw fixation improve functional outcomes compared to sliding hip screw fixation in young adults with traumatic femoral neck fractures?
RCT (n=30)
Open-label
Lottery method
No
Does cannulated cancellous screw fixation improve functional outcomes compared to sliding hip screw fixation in young adults with traumatic femoral neck fractures?
Both CC screws and SHS provide similar functional outcomes for femoral neck fractures in young adults, but CC screws are associated with shorter surgical duration and hospital stay.
Answers are grounded in this paper and cite their sources.
Positions cannulated screws as a more efficient surgical option with equivalent functional recovery; extends randomized evidence supporting.
Background: Management of intracapsular fractures involving the neck region of femur in a young population should be done as an emergency to prevent avascular necrosis due to its precarious blood supply. This type of fracture can be fixed with either a CC screw or a SHS. The study aimed to evaluate and compare the functional outcome between the CC screw and a SHS after the fixation of these fractures. Method: This was a prospective study of 30 patients who had traumatic neck of femur fractures conducted between January 2020 to December 2021. Patients were allotted into 2 groups. Group A was treated with cannulated cancellous crew fixation, Group B was treated with sliding hip screw fixation. Post-operatively, patients were under review for 1 year. Results: This study had 13 males and 17 females with the left side commonly involved. The mean patient’s age was 34.7 ranging from 22 to 46 years. RTA was a more common injury mode. The average surgery time for group A patients was 72.9 minutes and was 117.5 for group B. The average time for clinical union of fracture was 13 weeks for group A and 11.5 weeks for group B. The average postoperative Harris hip score was 86.5 for group A and was 84.5 for group B which is not statistically significant. Patients in the study were happy with the treatment and the outcome. Conclusion: The fixation of fracture involving neck region of femur in younger patients using both the CC screws and a SHS showed no statistically better functional score or hip ROM with no significant complications but cannulated cancellous screw group was better in terms of average surgical duration and hospital stay.
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Vignesh et al. (2023) conducted an RCT in Traumatic neck of femur fractures (n=30). Cannulated cancellous (CC) screws vs. Sliding hip screw (SHS) was evaluated on Functional outcome (Harris hip score) (p=not significant). Fixation of femoral neck fractures in young adults using CC screws or SHS showed no significant difference in functional outcomes, but CC screws significantly reduced surgical duration and hospital stay.
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