Comparing Therapeutic Outcomes of Dynamic Hip Screw and Multiple Cannulated Screws as Internal Fixation in Femoral Neck Fractures
Background and purpose: Femoral neck fracture is associated with a high rate of side effects, especially in young people, who are usually affected by severe energy shocks. Results after injury depend on some factors, including displacement, fragility, bleeding rate, proper placement, and stable and...
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| Format: | Article |
| Language: | English |
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Mazandaran University of Medical Sciences
2020-07-01
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| Series: | Journal of Mazandaran University of Medical Sciences |
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| Online Access: | http://jmums.mazums.ac.ir/article-1-15426-en.html |
| _version_ | 1797944054898491392 |
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| author | Abed Shokri Masoud Bahrami Feraydoni Rahmatolah Jokar Soraya Khafri |
| author_facet | Abed Shokri Masoud Bahrami Feraydoni Rahmatolah Jokar Soraya Khafri |
| author_sort | Abed Shokri |
| collection | DOAJ |
| description | Background and purpose: Femoral neck fracture is associated with a high rate of side effects, especially in young people, who are usually affected by severe energy shocks. Results after injury depend on some factors, including displacement, fragility, bleeding rate, proper placement, and stable and strong fixation. The aim of this study was to compare dynamic hip screw (DHS) or multiple cannulated screws (MCS) in fractures of the femoral neck base.
Materials and methods: In this cross-sectional study, 78 patients with femoral neck fracture were treated by internal fixation: MCS (n= 26) and DHS (n= 52) in Babol Shahid Beheshti Hospital, 2016-2018. Complications, including pain and lameness, infection, avascular necrosis (AVN), and nonunion were investigated in both groups. The visual analog scale (VAS) score and Harris Hip Score (HHS) were also compared between the two groups.
Results: Mean ages of the patients in MCS group and DHS group were 54.19 ± 23.35 and
58.50 ± 21.06 years, respectively. In patients treated by MCS, infection, AVN, no welding, and pain and lameness were seen in 3, 2, 3, and 6 patients, respectively, while these complication were observed in 1, 1, 1, and 4 patients in the DHS group, respectively. The rate of complications were not found to be significantly different between the two group (P>0.05). The mean VAS score was significantly lower in the DHS group compared to that in the MCS group (P<0.05). The HHS scores were not significantly different between the two groups (P<0.05).
Conclusion: According to this study, MCS is more appropriate in the treatment of femoral neck fractures due to less bleeding and shorter operation time. |
| first_indexed | 2024-04-10T20:33:34Z |
| format | Article |
| id | doaj.art-1468a17da36044f3bcab2c2cd2a47c07 |
| institution | Directory Open Access Journal |
| issn | 1735-9260 1735-9279 |
| language | English |
| last_indexed | 2024-04-10T20:33:34Z |
| publishDate | 2020-07-01 |
| publisher | Mazandaran University of Medical Sciences |
| record_format | Article |
| series | Journal of Mazandaran University of Medical Sciences |
| spelling | doaj.art-1468a17da36044f3bcab2c2cd2a47c072023-01-25T05:00:42ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792020-07-01301878494Comparing Therapeutic Outcomes of Dynamic Hip Screw and Multiple Cannulated Screws as Internal Fixation in Femoral Neck FracturesAbed Shokri0Masoud Bahrami Feraydoni1Rahmatolah Jokar2Soraya Khafri3 Resident in Orthopedic Surgery, Faculty of Medicine, Babol University of Medical Sciences, Babol, Iran Assistant Professor, Department of Orthopedic Surgery, Faculty of Medicine, Babol University of Medical Sciences, Babol, Iran Assistant Professor, Department of Orthopedic Surgery, Faculty of Medicine, Babol University of Medical Sciences, Babol, Iran Associate Professor, Department of Biostatistics, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran Background and purpose: Femoral neck fracture is associated with a high rate of side effects, especially in young people, who are usually affected by severe energy shocks. Results after injury depend on some factors, including displacement, fragility, bleeding rate, proper placement, and stable and strong fixation. The aim of this study was to compare dynamic hip screw (DHS) or multiple cannulated screws (MCS) in fractures of the femoral neck base. Materials and methods: In this cross-sectional study, 78 patients with femoral neck fracture were treated by internal fixation: MCS (n= 26) and DHS (n= 52) in Babol Shahid Beheshti Hospital, 2016-2018. Complications, including pain and lameness, infection, avascular necrosis (AVN), and nonunion were investigated in both groups. The visual analog scale (VAS) score and Harris Hip Score (HHS) were also compared between the two groups. Results: Mean ages of the patients in MCS group and DHS group were 54.19 ± 23.35 and 58.50 ± 21.06 years, respectively. In patients treated by MCS, infection, AVN, no welding, and pain and lameness were seen in 3, 2, 3, and 6 patients, respectively, while these complication were observed in 1, 1, 1, and 4 patients in the DHS group, respectively. The rate of complications were not found to be significantly different between the two group (P>0.05). The mean VAS score was significantly lower in the DHS group compared to that in the MCS group (P<0.05). The HHS scores were not significantly different between the two groups (P<0.05). Conclusion: According to this study, MCS is more appropriate in the treatment of femoral neck fractures due to less bleeding and shorter operation time.http://jmums.mazums.ac.ir/article-1-15426-en.htmlfemoral neck fractureinternal fixatorsurgical complicationsvisual analogue scaleharris hip score |
| spellingShingle | Abed Shokri Masoud Bahrami Feraydoni Rahmatolah Jokar Soraya Khafri Comparing Therapeutic Outcomes of Dynamic Hip Screw and Multiple Cannulated Screws as Internal Fixation in Femoral Neck Fractures Journal of Mazandaran University of Medical Sciences femoral neck fracture internal fixator surgical complications visual analogue scale harris hip score |
| title | Comparing Therapeutic Outcomes of Dynamic Hip Screw and Multiple Cannulated Screws as Internal Fixation in Femoral Neck Fractures |
| title_full | Comparing Therapeutic Outcomes of Dynamic Hip Screw and Multiple Cannulated Screws as Internal Fixation in Femoral Neck Fractures |
| title_fullStr | Comparing Therapeutic Outcomes of Dynamic Hip Screw and Multiple Cannulated Screws as Internal Fixation in Femoral Neck Fractures |
| title_full_unstemmed | Comparing Therapeutic Outcomes of Dynamic Hip Screw and Multiple Cannulated Screws as Internal Fixation in Femoral Neck Fractures |
| title_short | Comparing Therapeutic Outcomes of Dynamic Hip Screw and Multiple Cannulated Screws as Internal Fixation in Femoral Neck Fractures |
| title_sort | comparing therapeutic outcomes of dynamic hip screw and multiple cannulated screws as internal fixation in femoral neck fractures |
| topic | femoral neck fracture internal fixator surgical complications visual analogue scale harris hip score |
| url | http://jmums.mazums.ac.ir/article-1-15426-en.html |
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