Abstract
The aim of the study is to analyse a viable treatment option for fracture neck of femur – considered to be difficult in achieving union.
Objectives: To evaluate the efficacy of multiple cancellous screws as a treatment for fracture neck of femur.
Materials and Methods: A prospective study of 40 cases of fracture neck of femur treated by multiple cancellous screw fixation was followed up and clinically evaluated.
Result: Early surgical intervention using multiple cancellous screws gave good results.
Conclusion: It is an easy less invasive produce with fewer complications.
Keywords: Fracture neck of Femur, cannulated cancellous screws, early fixation, anatomical reduction.
References
1. Abrami and Stevens : Early weight bearing after internal fixation of transcervical fracture of the femur. JBJS 456B, P 204-205
2. Banks HH: Factors influencing the result in fractures of the femoral neck. JBJS 44A, p. 931-963
3. Brodetti A : The blood supply of the femoral neck and head in relation to damaging effects of nail and screws, JBJS 42B, p. 794-801
4. Christie J Howie ZCR et al: Fixation of displaced sub capital femoral fractures. JBJS 70B, p. 199-201, 1988.
5. Neck fractures, Clin Orthop and related research, Oct mo, No; 152-p. 162.
6. Faudson PA, Anderson PE et al: Garden’s classification of femoral neck fractures,. JBJS 70B, p. 588-590, 1988.
7. Frangakis EK: Intra capsular fractures of the neck of the femur, Factors influencing nonunion and ischaemic necrosis, JBJS Vol 48B, No.l, p. 17-30.
8. Kuslich SD & Gustillo RB : Fractures of the femoral neck in young adults JBJS 58A, p. 724.
9. Max Scheck : Intracapsular fractures of femoral neck - comminution of the posterior cortex as a cause of unstable fixation, JBJS Vol. 41A, No. 7.
10. Prayor GA & Williams DRR : Rehabilitation after hip fractures , JBS 71B, p. 471-474, 1989.
11. Rehnberg and Olerud C: The stability of the femoral neck fractures and its influence on healing, JBJS 7IB, P. 173-177, 1989.
Corresponding Author
Dr Jose Francis. C
Additional Professor, Department of Orthopaedics,
Government Medical College, Thiruvananthapuram
DOI: https://dx.doi.org/10.18535/jmscr/v5i7.29
