Abstract

Background:Intra-capsular femoral neck fractures account for about 50% of all hip fractures. The fracture of femoral neck have always been great challenge to orthopedic surgeons and still remain an unsolved fracture as far as treatment and results are concerned due to its complexity in anatomy & bio-mechanical circumstances. With the recent advances in the treatment, outcome of these fractures have remarkably changed.
Materials and Methods: This prospective randomized observational study was conducted on 30 patients with fracture neck of femur, fixed with 3 cannulated screws in inverted triangle pattern with aim and objective to assess the effectiveness of fixation in a skeletally mature patients to restore healing of fracture and to evaluate the functional outcome as well as complications if any, of the fracture fixation.
Results: Most of the fractures were displaced (Garden type 3 - 73.33%). Average time between injury and surgery was 45.77 hours with average duration of each surgery was 60 min and mean blood loss was 94.30 ml. According to Harris Hip Score, results were excellent in 20 (66.67%) patients, good was in 3 (10%) of cases, fair in 2 (6.67%) cases and poor outcome was observed in 5 (16.67%) patients. In present study, 83.33% cases had shown good outcome, while 10% of the cases developed avascular necrosis and 2 (6.67%) cases went into non- union and shortening was seen in 40% of patients.
Conclusion: We recommend cannulated screw fixation of fracture neck of femur with inverted triangle configuration is a viable treatment option in terms of operation time as well as hospital stay, less expensive as well as very effective treatment option especially in young patients with lower implant failure rate and speedy union with better functional results.