OUTCOME OVER TWO YEARS OF FEMORAL NECK FRACTURE SURGERY USING CANNULATED SCREWS IN ADULTS AT VIET DUC FRIENDSHIP HOSPITAL
Main Article Content
Abstract
Objective: To evaluate the results of femoral neck fracture surgery using cannulated screws in adults at Viet Duc Friendship Hospital over a two-year period. Methods: This retrospective study included 42 patients who underwent percutaneous femoral neck fusion surgery with cannulated screws from January 2017 to May 2022. The average follow-up period was 53.9 ± 19.2 months. Results: A total of 42 patients with an average age of 35.1 ± 13.2 years; male/female ratio = 3.7:1. The main causes were traffic accidents and domestic accidents, accounting for 92.9%. Fracture classification according to the Garden system: most cases were grade III and IV fractures, making up 69.1%. The time to surgery was mostly between 3-7 days, with only 14.3% undergoing surgery within 48 hours. Hip function assessment using the Harris scale showed 57.2% excellent, 19.0% good, 14.3% average, and 9.5% poor. The average Harris Hip Score (HHS) was 91.7 points for ages 18-29, 84.6 points for ages 30-59, and 69 points for patients aged 60 and older. The most common complication was head resorption, occurring in 19.0% of cases, followed by pseudoarthrosis in 7.1%. Complications were mainly observed in the Garden III-IV and Pauwels II-III displaced fracture groups. All patients with pseudoarthrosis and nonunion had poor postoperative reduction outcomes. Conclusion: Percutaneous cancellous screw fixation of the femoral neck is a safe and effective treatment method, especially suitable for young patients. Anatomical reduction is a crucial factor influencing bone union.
Article Details
Keywords
Femoral neck fractures, cannulated screws, outcomes, complications, hip function, bone union
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