Comparative study of fresh femoral neck fractures managed by multiple cancellous screws with and without fibular graft in young adults |
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Authors: | Snajay Kumar Ajay Bharti Ashok Rawat Vineet Kumar Sachin Avasthi |
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Affiliation: | aAssistant Professor Orthopaedics, G.S.V.M. Medical College, Kanpur, Uttar Pradesh 208002, India;bAssociate Professor Orthopaedics, G.S.V.M. Medical College, Kanpur, Uttar Pradesh 208002, India;cSenior Resident, G.S.V.M. Medical College, Kanpur, Uttar Pradesh 208002, India |
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Abstract: | ObjectivesAim of our study was to assess the role of addition of fibular strut graft to multiple cancellous screws in functional outcome, union and complications associated with those managed by only multiple cancellous screws in fresh femoral neck fractures.MethodsA randomized control trial study was conducted on the patients of femoral neck fractures managed with multiple cancellous screws (group A) and multiple cancellous screws with fibular graft (group B). Patients aged between 20 and 50 years, having Gardens type III or IV fracture with duration of injury less than two weeks were included in the study.ResultsEighty seven cases were analysed n = 45 were in group A and n = 42 in group B. Functional outcome (Harris hip score) was excellent in 30 patients in group A as compared to 12 in Group B which was statistically significant favouring group A. The time of full weight bearing, union and non union rates showed no statistical significance (p > 0.05). On statistical grounds none of the procedures proved to be better than other.ConclusionsFresh femoral neck fracture in young adults managed with multiple cancellous screws fixation with fibular graft has no added advantage over multiple cancellous screws fixation alone. |
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Keywords: | Fresh fracture neck of femur Multiple cancellous screws Fibular strut graft |
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