International Journal of Orthopaedics Sciences

International Journal of Orthopaedics Sciences

2023, Volume 9 Issue 1

Comparison of functional outcome between the SHS and CC screws for fixation of fracture involving neck of femur in young adults: A prospective study

Author(s): Dr. PS Arun Vignesh, Dr. V Aakash, Dr. Adhishwaran Kumaran, Dr. G Vignesh and Dr. Yeshwanth Subash
Abstract: 
Background: Management of intracapsular fractures involving the neck region of femur in a young population should be done as an emergency to prevent avascular necrosis due to its precarious blood supply. This type of fracture can be fixed with either a CC screw or a SHS. The study aimed to evaluate and compare the functional outcome between the CC screw and a SHS after the fixation of these fractures.
Method: This was a prospective study of 30 patients who had traumatic neck of femur fractures conducted between January 2020 to December 2021. Patients were allotted into 2 groups. Group A was treated with cannulated cancellous crew fixation, Group B was treated with sliding hip screw fixation. Post-operatively, patients were under review for 1 year.
Results: This study had 13 males and 17 females with the left side commonly involved. The mean patient’s age was 34.7 ranging from 22 to 46 years. RTA was a more common injury mode. The average surgery time for group A patients was 72.9 minutes and was 117.5 for group B. The average time for clinical union of fracture was 13 weeks for group A and 11.5 weeks for group B. The average postoperative Harris hip score was 86.5 for group A and was 84.5 for group B which is not statistically significant. Patients in the study were happy with the treatment and the outcome.
Conclusion: The fixation of fracture involving neck region of femur in younger patients using both the CC screws and a SHS showed no statistically better functional score or hip ROM with no significant complications but cannulated cancellous screw group was better in terms of average surgical duration and hospital stay.
Pages: 71-75  |  16 Views  2 Downloads
How to cite this article:
Dr. PS Arun Vignesh, Dr. V Aakash, Dr. Adhishwaran Kumaran, Dr. G Vignesh, Dr. Yeshwanth Subash. Comparison of functional outcome between the SHS and CC screws for fixation of fracture involving neck of femur in young adults: A prospective study. Int J Orthop Sci 2023;9(1):71-75. DOI: 10.22271/ortho.2023.v9.i1b.3273
International Journal of Orthopaedics Sciences
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