الفهرس 
A comparative study between dynamic hip screw and multiple cannulated screws for fixation of intracapsular fracture neck of femur in adults
contentsOnly 14 pages are availabe for public view
 |  | from | 158 |  |  |
| | | from | 158 | | |
Abstract
Background: Fracture neck of femur, especially in the young active adults, poses a considerable challenge for the orthopedic surgeon. The challenge stems from the high incidence of fracture-healing complications encountered after internal fixation. Aim: To compare multiple cannulated screws (MCS) versus dynamic hip screw (DHS) with a de-rotational screw for fixation of this fracture. Materials and methods: A prospective randomized study was conducted involving 30 patients divided into two groups. Patients were assessed clinically using Harris hip score (HHS) and radiologically at 3 and 6 months. Results: The mean age for the MCS group was 44 ± 13 years, while the mean age for the DHS group was 46 ± 11 years. The mean follow up period was 7.13 months with a minimum of 6 months for all patients included. No statistical significance was found when the two groups were compared except in estimated intra-operative blood loss. The median estimated blood loss for fixation with MCS was 100 ml while that for fixation with DHS was 400 ml (p{u02C2}0.001). Conclusion: Biomechanically, DHS outperforms MCS particularly in vertical shear fracture patterns (Pauwels III) but there is no significant difference between the two implants in their clinical, radiological, and functional outcomes. MCS does have an advantage over DHS in terms of blood loss