COMPARISON OF OUTCOME OF FEMORAL NECK FRACTURE OSTEOSYNTHESIS TREATED WITH CANNULATED SCREWS WITH CONVENTIONAL INVERTED TRIANGLE CONFIGURATION AND BIPLANAR DOUBLE SUPPORTED SCREW FIXATION
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Abstract
Intracapsular femoral neck fractures are common among the elderly following trivial trauma or fall [1]. However, femoral neck fracture in adults under 60 years of age are rare and frequently the consequence of high-energy trauma [2-4] amounting to 2-3% of all femoral neck fractures [2,5]. Higher rates of complications such as femoral head osteonecrosis (around 12 to 86 %) [4,6–13] and nonunion are linked to femoral neck fractures in the young adults [4, 6, 9, 14]. Osteoarthritis and femoral head collapse could result from this devastating condition.
In the young patients with high levels of activity, arthroplasty and salvage techniques like osteotomy have high failure rates and poor acceptability [15]. A secure internal fixation and an anatomic reduction are essential, but other treatment factors including time to surgery, the role of capsulotomy, and fixation techniques are still up for debate.
Significant morbidity, mortality, and functional impairment are associated with femoral neck fractures. Even now, femur neck fractures are still considered "unsolved fractures”. For femoral neck fracture osteosynthesis, choosing the right surgical strategy is essential to achieve positive outcomes and minimize complications. In order to treat this fracture and avoid complications, we conducted this study to better understand the biomechanics of different implants and surgical approaches [16,17].
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Dr. Manasjyoti Das
Assistant Professor, Dept. of PMR, Tezpur Medical College & Hospital, Tezpur, Assam, India, Srimanta Sankaradeva University of Health Sciences, Assam
Dr. Aashish Sharma
Registrar, Dept. of PMR, Tezpur Medical College & Hospital, Tezpur, Assam, India, Srimanta Sankaradeva University of Health Sciences, Assam,
Dr. Syed Shahbaz Imam
PGT, Dept. of orthopaedics, Tezpur Medical College & Hospital, Tezpur, Assam, India, Srimanta Sankaradeva University of Health Sciences, Assam