What is the difference in intraoperative complications between using cannulated screws and dynamic hip screws for fixation of femoral neck fracture? | ||
| Aswan University Medical Journal | ||
| Article 1, Volume 5, Issue 1, March 2025, Pages 1-8 PDF (1 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/aumj.2024.329555.1152 | ||
| Authors | ||
| Hesham Refae; Ahmed Mohammed Abdelwahab* ; Mohamed salman; Ebeed Yasin | ||
| Department of orthopedic surgery, Faculty of Medicine, Aswan University | ||
| Abstract | ||
| Abstract Background: Operative treatment of a femoral neck fracture necessitates meticulous technique since intraoperative excessive image exposure and blood loss can significantly impact union and the overall outcome. objectives: The work aimed to evaluate and compare the intraoperative compactions between the cannulated screws and dynamic hip screws for fixation of the femoral neck fracture. Subjects and methods: Thirty patients with femoral neck fractures were enrolled in this prospective study and divided into two groups. Cannulated screw fixation for group A and dynamic hip screw fixation for group B. We compared the two groups regarding intraoperative complications: C-arm exposure, blood loss, and implant failure. Results: The intraoperative blood loss was (160 ± 47.06 ml) in the cannulated screws and (440 ± 188.22 ml) in the dynamic hip screw (p-value <0.001). The C-arm exposure time was significantly higher in the canned fixation group (30 ± 9.26 seconds) compared to the dynamic hip screw group (20.3 ± 11.41 seconds). Conclusion: the Cannulated fixation recorded more intraoperative image exposure but lesser operative time than Dynamic hip screws during fixation of the neck of femur fracture | ||
| Keywords | ||
| Keywords : Dynamic Hip Screw; Cannulated Screw; Neck of Femur | ||
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