ARCHIVES
VOL. 2, ISSUE 3 (2020)
to study evaluation of intracapsular fracture of neck femar treated by screw fixation
Authors
Jatin Sanandiya, Rasik Dabhi, Nikunj Rathwa
Abstract
Background: Fractures of neck of femur have always presented great challenges to the Orthopedics surgeons. Fractures of neck of femur are usually entirely intracapsular. Results depend upon the extent of injury and adequacy of reduction and fixation. Fixation with cannulated cancellous screws is usually adequate for femoral neck fractures. Lateral cortex plays a very important role in screw fixation. Objective: To evaluation of intracapsular fracture of neck femur treated by screw fixation. Materials and Method: Total 50 patients with intracapsular fracture neck of femur are evaluated with preoperative x-rays of the concerned hip joints both in anterioposterior and lateral views and their outcome post operatively after fixation with cancellous screws. The outcome is evaluated in terms of pain relief, extent of ambulation achieved after surgery. The classifications we followed are Gardens classification of fracture neck of femur. The patient will be followed up to one year to assess the functional outcome. Results: A good result was obtained in 65.38% of the patients, excellent in 23.07%, fair in 3.84% and poor result in 7.69% of the patients. Complications such as Non union & avascular necrosis in one case, Non-union and Extrusion of screws in one case, cut through of screws into articular surface leading to painful joint in one case. Most of the cases of intracapsular neck of femur were in the age group of 26-50 years. There was male preponderance as shown in this study. Conclusion: By the usage of multiple cannulated cancellous lag screws, compression effect at the fracture site is achieved; it also avoids re displacement and rotations. The implant occupies less volume in the small sized femoral necks of Patients allowing better osteosynthesis of intracapsular fracture neck of femur. Multiple cannulated cancellous screw fixations for intracapsular fracture neck of femur are an easy, safe & useful procedure with encouraging results.
Download
Pages:18-21
How to cite this article:
Jatin Sanandiya, Rasik Dabhi, Nikunj Rathwa "to study evaluation of intracapsular fracture of neck femar treated by screw fixation". International Journal of Orthopaedics Research, Vol 2, Issue 3, 2020, Pages 18-21
Download Author Certificate
Please enter the email address corresponding to this article submission to download your certificate.

