Abstract: Background: Over the years, primary hip arthroplasty has become a popular choice of management modality for intra-capsular fracture neck of femur in geriatric hip. Although the complication of nonunion and avascular necrosis (AVN) is nullified by arthroplasty, the probability of re-operation and high surgical stress is substantially high as compare to osteosynthesis. The aim of this study was to determine the clinical outcome of biplane double supported screw fixation (BDSF) for femoral neck fracture.
Material and Methods: A total of 32 patients (12 males, 20 females) with a mean age of 58.78 years underwent BDSF for femoral neck fracture and were followed up for a period of 10-12 months. They were assessed on the basis of improvement in Harris Hip Score (HHS).
Results: After BDSF the union was achieved in 89.18% (29) patients. The mean HHS was 87.44 points at one year of follow up. The majority of patients had good to excellent functional outcomes. The average time of clinico-radiological union was3-3.5 months.
Conclusion: BDSF method used in femoral neck fracture fixation has given very good results in this study. Though anatomical reduction is crucial, BDSF method ensures reliable fixation, early rehabilitation and good functional outcome especially in elderly.
