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Scholars Journal of Applied Medical Sciences | Volume-8 | Issue-06
Evaluation of Outcome of Fracture Neck of Femur Treated with Dynamic Hip Screw and Antirotation Screw for Early Mobilisation in Young Adults
Dr. Sharma Nishant, Dr. Goel Rajesh, Dr. Gupta Shobit, Dr. Patidar Balkishan
Published: June 24, 2020 | 157 113
DOI: 10.36347/sjams.2020.v08i06.025
Pages: 1519-1521
Objectives: The treatment of femoral neck fractures shows a relatively high number of poor outcomes, usually due to late complications, such as avascular necrosis of the femoral head,non/mal union. The aim of this prospective study was to evaluate a group of patients treated by osteo-synthesis for intra-capsular femoral neck fractures at our department, and to find appropriate implant choice for subtype of fracture neck of femur and complication. Methods: A prospective study carried out on 30 patients aged 18-55 years, who had complete femoral neck fracture. All fractures were classified on the basis of pauwel’sand anatomical classification.All patients were treated between 2 to 7 days after injury and followed for 12 months. Results: Basicervical type fractures were diagnosed in 10 patients, transcervical 12 and 8 had subcapital type fractures. Bone union without complications was achieved in 66.6 % of the patients within 12 months of surgery. Late complications were found in 33.3 % fracture. Conclusion: DHS with de-rotation screw is biomechanically and functionally very stable construct for fixation of fracture neck of femur fracture in young basicervical and transcervical types of fracture, results are satisfactory but in subcapital types of fracture its use is still in dilemma.