Key result
Internal fixation with cannulated cancellous screws and fibular strut graft for femoral neck fractures achieved flexion > 100 degrees in 77% of patients and abduction > 25 degrees in 85% of patients.
Why the study?
Intracapsular femoral neck fractures are commonly seen in elderly patients following a trivial fall, prompting assessment of internal fixation alone or with fibular strut graft.
Does internal fixation with cannulated cancellous screws and fibular strut graft provide reliable fixation and satisfactory range of motion in patients with fracture neck of femur?
Observational (n=52)
Does internal fixation with cannulated cancellous screws and fibular strut graft provide reliable fixation and satisfactory range of motion in patients with fracture neck of femur?
Management of fracture neck of femur with cancellous cannulated screw and fibular strut graft is a reliable method of fixation that yields satisfactory range of motion.
Fibular strut graft with fixation may aid union in select femoral neck fractures; leaves open need for RCTs versus screws alone.
Background: Intracapsular femoral neck fractures are commonly seen in the elderly population after a trivial fall. The present study was conducted to assess management of fracture neck of femur with internal fixation alone or with fibular strut graft. Materials & Methods: 52 patients of fracture neck of femur treated by close / open reduction and internal fixation using cannulated cancellous screws along with strut fibular graft of both genders were enrolled. Parameters such as mode of injury, range of movement and complications were recorded. Results: Out of 52 patients, males were 32 and females were 20. Mode of accident was RTA in 28, fall in 16 and domestic violence in 8 cases. Range of motion flexion > 100 degrees was seen in 40 and < 100 degrees in 12 cases. Extension > 10 degrees was seen in 38 and < 10 degrees in 14 cases. Abduction > 25 degrees was seen in 44 and < 25 degrees in 8 cases. Complications observed were swelling in four, shortening of the affected limb in two and superficial infection in case. Conclusion: Management of fracture neck of femur with cancellous cannulated screw and fibular strut graft is a reliable method of fixation.
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Rai et al. (2022) conducted an observational in Fracture neck of femur (n=52). Internal fixation with cannulated cancellous screws and strut fibular graft was evaluated on Range of motion (flexion > 100 degrees) (p=0.01). Internal fixation with cannulated cancellous screws and fibular strut graft for femoral neck fractures achieved flexion > 100 degrees in 77% of patients and abduction > 25 degrees in 85% of patients.
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