Abstract: 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.
