Snajay Kumar1, Ajay Bharti2, Ashok Rawat3, Vineet Kumar1, Sachin Avasthi1. 1. Assistant Professor Orthopaedics, G.S.V.M. Medical College, Kanpur, Uttar Pradesh 208002, India. 2. Associate Professor Orthopaedics, G.S.V.M. Medical College, Kanpur, Uttar Pradesh 208002, India. 3. Senior Resident, G.S.V.M. Medical College, Kanpur, Uttar Pradesh 208002, India.
Abstract
OBJECTIVES: Aim 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. METHODS: A 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. RESULTS:Eighty 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. CONCLUSIONS: Fresh femoral neck fracture in young adults managed withmultiple cancellous screws fixation with fibular graft has no added advantage over multiple cancellous screws fixation alone.
RCT Entities:
OBJECTIVES: Aim 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. METHODS: A 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. RESULTS: Eighty 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. CONCLUSIONS: Fresh 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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