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.
