Vol. 8, Issue 2, Part A (2024)
Comparison treatment of fracture neck femur with fibular grafting and cancellous hip screws
Author(s):
Dr. Sarbjeet Singh Bhagtana and Dr. SK Julfikar Hossain
Abstract:
Background: A fracture of the neck of the femur, commonly referred to as a hip fracture, is a break that occurs in the proximal (upper) part of the femur, close to the hip joint. The present study was conducted to compare treatment of fracture neck femur with fibular grafting and cancellous hip screws.
Materials and Methods: 94 cases of fracture neck femur of both genders were divided into 2 groups. Each group had 47 patients. Group I patients were treated with fibular grafting and group II patients with cancellous hip screws. Routine blood and urine examinations was carried out. AP and lateral radiographs of the involved hip was taken.
Results: In group I, males were 27 and females were 20 and in group II, males were 22 and females were 25. The side was right in 25 and 23 and left in 22 and 24 patients in group I and group II respectively. Duration between trauma & surgery was < 1 week in 13 and 20, > 1 week - < 1 month in 15 and 13 and >1 month in 19 and 14 patients in group I and group II respectively. The mode of trauma was fall in 7 and 6, RTA in 15 and 14 and violence in 5 and 7 patients in group I and group II respectively. Outcome was excellent in 11 and 8, good in 9 and 12, fair in 7 and 5 and poor in 0 and 2 patients in group I and group II respectively. Complicationswere shortening in 3 and 1, Coxa vara in 1 and 2, Coxa valga in 2 and 4 and infection in 1 and 2 patients in group I and group II respectively. The difference was significant (P< 0.05).
Conclusion: Procedures for fibular grafting in intracapsular fractures of the neck and femur have good outcomes when carried out with great technical proficiency. When a femur fracture occurs in the neck with posterior comminution, it provides good stability.
Pages: 16-18 | 377 Views 121 Downloads
How to cite this article:
Dr. Sarbjeet Singh Bhagtana and Dr. SK Julfikar Hossain. Comparison treatment of fracture neck femur with fibular grafting and cancellous hip screws. Nat. J. Clin. Orthop. 2024;8(2):16-18. DOI: https://doi.org/10.33545/orthor.2024.v8.i2a.441