A comparative study between multiple cannulated screws and dynamic hip screw for fixation of femoral neck fracture in adults

Siavashi, Babak; Aalirezaei, Arash; Moosavi, Mersad; Golbakhsh, Mohammadreza; Savadkoohi, Dariush Gouran; Zehtab, M J

doi:10.1007/s00264-015-2881-9

Cited by 58 publications

(49 citation statements)

References 22 publications

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“…Bonnaire et al 15 also advocated DHS against MCS in high shear angle neck fractures. Siavashi et al, 33 Razik et al, 34 and Gardner et al 35 also agree that DHS is a better option compared with cannulated screws. Addition of a derotational screw placed in the cranial part of the femoral neck superior to the dynamic hip screw can improve the rotational stability of the construct.…”

Section: Discussionmentioning

confidence: 92%

Treatment of displaced femoral neck fractures in young patients with DHS and its association to osteonecrosis

Schwartsmann

Lammerhirt

Spinelli

et al. 2018

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveThe purpose of this study is to evaluate the performance of dynamic hip screw for the treatment of dislocated femoral neck fractures in young patients, focusing on osteonecrosis.MethodsA series of 53 patients with less than 55 years of age were retrospectively evaluated. All patients had dislocated femoral neck fractures (Garden III or IV) and were treated with DHS. Ficat's staging system was used to evaluate avascular necrosis.ResultsThere were 38 (71.7%) males and 15 (28.3%) females, with an overall mean age at the onset of fracture of 41.9 years (±12.8). According to Garden's classification, 21 (39.6%) fractures were classified as type III and 32 (60.4%) were considered totally dislocated, Garden IV. Fracture healing was achieved in 39 patients (73.6%). Thirteen cases of avascular necrosis were observed (24.6%).ConclusionsThe incidence of avascular necrosis in young patients with a displaced femoral neck fractures treated with DHS was 24.6%. No statistically significant association was found between times elapsed to surgery, fracture displacement, and presence of derotation screw with osteonecrosis. Level of evidence IV.

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Section: Discussionmentioning

confidence: 92%

Treatment of displaced femoral neck fractures in young patients with DHS and its association to osteonecrosis

Schwartsmann

Lammerhirt

Spinelli

et al. 2018

Revista Brasileira de Ortopedia (English Edition)

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“…However, comparison between these two fixation methods has to be dealt with caution due to small patient numbers. Siavashi and colleagues found a lower rate of fixation failure of DHS compared to cancellous screws for the treatment of femoral neck fractures [ 18 ]. Another study failed to show significant differences between both treatment options [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Femoral shortening does not impair functional outcome after internal fixation of femoral neck fractures in non-geriatric patients

Haider

Schnabel

Hochpöchler

et al. 2018

Arch Orthop Trauma Surg

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IntroductionAim of this study was to investigate the incidence and extent of femoral shortening in non-geriatric patients after internal fixation of femoral neck fractures in relation to the clinical outcome at mid-term follow-up.Materials and methodsReviewing our admission data, we identified non-geriatric patients (18–65 years) with femoral neck fractures treated with either dynamic hip screw or cancellous screws between 2007 and 2015. Patients were then contacted and invited to a follow-up clinical investigation including whole-leg standing X-rays.ResultsA total of 40 patients with a mean age at surgery of 52 ± 9 years returned for the follow-up examination. Overall, 31 patients (77.5%) had undergone a dynamic hip screw fixation, while 9 patients were treated with cancellous screws (22.5%). The median follow-up time was 65.5 months (5.5 years). We observed shortening of the ipsilateral femur neck in the majority of cases (92.5%). Still, functional outcome in the overall study population was excellent with a median Harris Hip Score of 96.ConclusionsFemoral neck shortening is common in non-geriatric patients after internal fixation of femoral neck fractures. Nonetheless, observed excellent functional outcome at mid-term follow-up supports joint-preserving strategies in non-geriatric femoral neck fractures.

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“…We found that there was a substantial difference in implant survival between the treatment groups, with the SHS superior to cannulated screws when internal fixation is used. According to the current literature, the stability of SHS fixation is superior to cannulated screws, particularly in vertical and basal fractures, which are more unstable [11][12][13][14]. Our results suggest that stable fixation may be more important in ADS patients, as many trauma patients continue to drink after sustaining an injury and thus may be less likely to follow mobility restrictions during postoperative rehabilitation [15,16].…”

Section: Discussionmentioning

confidence: 61%

Complications after surgical treatment of femoral neck fractures in men with alcohol dependence syndrome: retrospective register analysis of 154 cases

Kosola

Kaipia

Laitinen

et al. 2017

Arch Orthop Trauma Surg

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A comparative study between multiple cannulated screws and dynamic hip screw for fixation of femoral neck fracture in adults

Abstract: It seems to us that in our practice the fixation of femoral neck fracture in young adults with the DHS is a better option compared with the osteosynthsis with multiple cannulated screws.

Cited by 58 publications

References 22 publications

Treatment of displaced femoral neck fractures in young patients with DHS and its association to osteonecrosis

Treatment of displaced femoral neck fractures in young patients with DHS and its association to osteonecrosis

Femoral shortening does not impair functional outcome after internal fixation of femoral neck fractures in non-geriatric patients

Complications after surgical treatment of femoral neck fractures in men with alcohol dependence syndrome: retrospective register analysis of 154 cases

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