BACKGROUND: The purpose of this study was to compare the period of union, functional outcomes and complications of patients with femoral neck fracture treated withpercutaneous cannulated screws versus dynamic hip screw (DHS). METHODS:Sixty-six patients with femoral neck fracture were treated with percutaneous cannulated screws (n=33) or with DHS (n=33) between August 1999 and October 2003. Functional outcome was measured using Harris Hip Score, and period of union, amount of bleeding and complications were also recorded. RESULTS: The period of union and functional outcomes were not different between the two groups. Risk of avascular necrosis (AVN) was associated mainly with the grade of fracture displacement. In the percutaneous cannulated screw group, duration of surgery was shorter and blood loss was less than in the other group. CONCLUSION: There was no superiority between cannulated screws and DHS according to union times and functional results. Risk of AVN is related to the degree of displacement. However, a prospective randomized study is needed to determine the outcome of each technique for patients suffering similar displacement rates.
RCT Entities:
BACKGROUND: The purpose of this study was to compare the period of union, functional outcomes and complications of patients with femoral neck fracture treated with percutaneous cannulated screws versus dynamic hip screw (DHS). METHODS: Sixty-six patients with femoral neck fracture were treated with percutaneous cannulated screws (n=33) or with DHS (n=33) between August 1999 and October 2003. Functional outcome was measured using Harris Hip Score, and period of union, amount of bleeding and complications were also recorded. RESULTS: The period of union and functional outcomes were not different between the two groups. Risk of avascular necrosis (AVN) was associated mainly with the grade of fracture displacement. In the percutaneous cannulated screw group, duration of surgery was shorter and blood loss was less than in the other group. CONCLUSION: There was no superiority between cannulated screws and DHS according to union times and functional results. Risk of AVN is related to the degree of displacement. However, a prospective randomized study is needed to determine the outcome of each technique for patients suffering similar displacement rates.
Authors: Anderson Freitas; Rafael Almeida Maciel; Renato De Almeida Lima; Diogo Ranier De Macedo Souto; Marcelo De Almeida Ferrer Journal: Acta Ortop Bras Date: 2014 Impact factor: 0.513
Authors: Anderson Freitas; Gustavo Melo Torres; André Cezar de Andrade de Mello E Souza; Rafael Almeida Maciel; Diogo Ranier de Macedo Souto; George Neri de Barros Ferreira Journal: Rev Bras Ortop Date: 2014-10-27
Authors: Anderson Freitas; Welder Fernandes Lula; Jonathan Sampaio de Oliveira; Rafael Almeida Maciel; Diogo Ranier de Macedo Souto; Patrick Fernandes Godinho Journal: Acta Ortop Bras Date: 2014 Impact factor: 0.513