Vol. 7, Issue 1 (2021)

Background and Objective: Complications including avascular necrosis (AVN) and non-union pose serious problems to the management of displaced femoral neck fractures in young people, which are rare but frequently caused by high-energy trauma. This study set intended to determine the frequency of postoperative problems and the functional and radiological results of surgical therapy for displaced femoral neck fractures in people ranging in age from 18 to 50 years.

Material and Methods: This prospective analysis encompassed 40 patients with displaced femoral neck fractures who had surgical intervention at a tertiary care facility. This study was undertaken by the Department of General Surgery at Santhiram Medical College, Nandyal, Andhra Pradesh, India, from January 2020 to December 2020. All patients received either open or closed reduction, subsequently followed by internal fixation utilizing cannulated screws or dynamic hip screw (DHS) fixation. Patients were monitored for 12 months following surgery, with assessments conducted at 6 weeks, 3 months, 6 months, and 12 months. Functional results were evaluated using the Harris Hip Score (HHS), and radiographic healing, union duration, and complications including avascular necrosis, non-union, and infection were recorded.

Results: On average, it took 14.2±2.5 weeks for 35 patients (87.5%) out of 40 (mean age: 34.5±6.7 years) to have their fractures healed. Three patients (7.5%) experienced AVN, while two patients (5.0%) did not achieve union. At the 12-month mark, the average Harris Hip Score was 86.4±9.2, and 28 patients, or 70%, demonstrated good to exceptional results. Functional outcomes were better when surgery was performed quickly (within 12 hours). There were no reports of implant failure or deep infections.

Conclusion: When done quickly, surgical repair of displaced femoral neck fractures in young people results in functionally satisfactory fractures with a reasonably low complication rate. Reducing the risk of AVN and non-union requires early intervention and adequate fixation procedures. Detection and therapy of delayed problems require long-term follow-up.