Our results on cancellous screw fixation of femoral neck fractures in adults

INTRODUCTION: Femoral neck fractures are among the common types of hip fractures. There is no ideal treatment option with consensus for the treatment of these fractures. There are various surgical treatment methods depending on patients’ age, general status etc. Studies have reported advantages and disadvantages for each treatment method. In this study, we aimed to evaluate treatment outcomes and complications in patients who were treated with cancellous screw fixation method.
METHODS: A total of 17 patients treated in the orthopedics and traumatology clinic of our hospital between January 2016 and December 2018 were included in the study. Patients’ age, gender, fracture side, mechanism of fracture, duration of hospitalization, postoperative Harris hip score, union status and postoperative complications were recorded.
RESULTS: According to the Garden’s classification, 6 patients had garden Type I and II displaced fractures, and 11 patients Garden Type III and IV nondisplaced fractures. Postoperative Harris hip score was found as ‘excellent’ in 47.1%, ‘good’ in 35.3%, ‘moderate’ in 11.8% and ‘poor’ in 5.9% of the patients. Postoperatively 5.8% of the patients developed wound site infection, 5.8% nonunion, 11.7% implant failure and 5.8% avascular necrosis.
DISCUSSION AND CONCLUSION: Cancellous screw fixation of femoral neck fractures, which can be inserted with minimal invasive techniques with relatively low complications, seems a safe and beneficial method.