Vol. 6, Issue 2 (2020)
Comparative result of cannulated versus non-cannulated cancellous screw fixation in fracture neck of femur
Author(s):
Dr. Lakhwinder Singh and Dr. Nilesh kachnerkar
Abstract:
Background: Cancellous screw fixation is treatment of choice for the management of fracture neck of femur in adults. Many types of screws are available including cannulated and non-cannulated. Both have their advantages and disadvantages. Hence we conducted the study to compare result of cannulated versus non-cannulated screw fixation in terms of intra-operative surgical advantage and post-operative results.
Objectives
1. To compare result of cannulated versus non-cannulated cancellous screw fixation in fracture neck of femur in adults.
2. To study intra-operative surgical advantage of cannulated over non-cannulated cancellous screw fixation.
Patients and Methods: 50 consecutive adult patients ranging from 20-50 years of age those suffering from fracture neck of femur were treated by cannulated and non-cannulated cancellous screw fixation. The study was carried out to compare results of cannulated and non-cannulated cancellous screw fixation for intracapsular fracture neck of femur in young adults.
Results: Study conducted on 50 patients of both sex and age between 20 yrs and 50 yrs within the period of 2 years those suffering from fracture neck of femur. Alternate consecutive patients were treated by cannulated and non-cannulated cancellous screw fixation. Data regarding operative time, radiation exposure and average blood loss was collected. Follow up was done at 6 weeks, 3 months, 6 months and 9 months and Modified Harris Hip Scoring (MHHS) and complications were noted. Data was tabulated and statistically analysed.
Conclusions: Our study showed that cannulated screw fixation has intra-operative advantage over non-cannulated cancellous screw fixation in terms of operative timing, radiation exposure and average blood loss but there was no advantage in terms of complications and post-operative results.
Pages: 459-463 | 1444 Views 269 Downloads
How to cite this article:
Dr. Lakhwinder Singh and Dr. Nilesh kachnerkar. Comparative result of cannulated versus non-cannulated cancellous screw fixation in fracture neck of femur. Int. J. Orthop. Sci. 2020;6(2):459-463. DOI: 10.22271/ortho.2020.v6.i2g.2081