Key result
Biplane double support fixation (BDSF) technique resulted in fracture union without any complications or fixation failure in all 12 patients over 12 months of follow-up.
Why the study?
Internal fixation of femoral neck fractures remains debatable, and parallel screws have poor clinical outcomes in 46% of cases.
Does the biplane double support fixation (BDSF) technique improve fracture union and prevent fixation failure in patients with fracture neck of the femur?
Case Report (n=12)
Does the biplane double support fixation (BDSF) technique improve fracture union and prevent fixation failure in patients with fracture neck of the femur?
The biplane double support fixation (BDSF) technique appears to be a highly successful method for treating femoral neck fractures, achieving 100% union without complications in this small case series.
Should not change practice for femoral neck fractures; hypothesis-generating for BDSF and requires randomized validation.
Internal fixation of femoral neck fractures has been always debatable. Parallel screws though are a frequent modality of fixation, they have a poor outcome in 46% of cases clinically. The fixation failure can be reduced significantly by optimizing the primary stability of the internal fixation construct. We treated 12 patients who presented with fracture neck of the femur by biplane double support fixation (BDSF) technique. All patients achieved fracture union without any complications and were followed up for 12 months. The results with BDSF are far more successful than the conventional method of fixation. There were no instances of fixation failure in our series of 12 cases.
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Shanbhag et al. (2024) conducted a case report in Fracture neck of the femur (n=12). Biplane double support fixation (BDSF) technique was evaluated on Fracture union and fixation failure. Biplane double support fixation (BDSF) technique resulted in fracture union without any complications or fixation failure in all 12 patients over 12 months of follow-up.
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