Management of Femoral Neck Fracture Treated with Dynamic Hip Screw and Bone Grafting

Muhammad Shabir¹, Muhammad Inam¹*, Asim Naeeem¹, Mian Amjad Ali¹, Hafeez Ullah Afridi² and Feroz Shah³

Received: January 10, 2020;   Published: January 23, 2020

DOI: 10.32474/OSMOAJ.2020.03.000164

Full Text PDF

To view the Full Article   Peer-reviewed Article PDF

Abstract

Objective: To evaluate the outcome of fracture neck of femur treated with dynamic hip screw and bone graft in term of union.

Material and Methods: This Descriptive case series study was carried out in the Orthopaedics Department, Lady Reading Hospital Peshawar from June 2018 to December 2018 on 153 patients of age 50 and above. Patient were put on traction table and closed reduction of the fracture was done with the help of image intensifier. Lateral transgluteal incision (Hardinges incision) was given. Dynamic Hip Screw was done on inferiomedial guide wire while only drilling was done to make a 9mm wide hole on the superiorly placed guide wire and Bone grafts taken from same side iliac crest was placed in it. Wound was closed in layers and antiseptic dressing was done. Follow up was done with serial x-rays (AP & lateral views) regularly every 4 weeks till fracture union & nonunion at 3^rd months was declared using Radiological Union Score for Hip.

Results: In this study mean age was 41.9 years with SD ± 11.72. Seventy-two percent patients were male while 28% patients were female. Moreover 85% patients had fracture union while15% patients no fracture union.

Conclusion: Our study concludes that frequency of fracture union was 85% in fracture neck of femur treated with dynamic hip screw and bone graft.

Keywords: Fracture Neck of Femur; Dynamic Hip Screw; Bone Graft; Union

Abstract| Introduction| Material and Method| Results| Discussion| Conclusion| References|