Percutaneous cannulated screws fixation in displaced intracapsular fractures of the femoral neck

ABSTRACT

The results of percutaneous cannulated screws fixation in 20 patients with displaced intracapsular femoral neck fractures were evaluated. 15 patients [75%] had partially displaced fractures [Garden III] and 5 patients [25%] had completely displaced fractures [Garden IV]. The mean age of the patients was 42 years [range 22 to 60 years]. The mean duration of follow-up was two years. Closed reduction was successfully done in all patients using Whitman maneuver and under image control. Cases with failed closed reduction were excluded from the study. All patients were evaluated on the basis of both clinical and radiological examinations. No patient died or had a wound infection during stay in the hospital. There was non-union of the fracture in two patients [10%] and healing of the fracture in 18 patients [90%]. The final results were graded as excellent in 12 patients [60%], good in 6 patients [30%], fair in one patient [5%], and poor result in another patient [5%]. Avascular head necrosis developed in 2 patients [10%], both had Garden type IV fracture. Another one patient [5%] with fracture [Garden III united in varus although she was functionally classified as good. Percutaneous cannulated screws fixation of intracapsular femoral neck fractures could offer a safe, simple, and effective procedure with good union and low rate of morbidity and mortality