Treatment of Femoral Neck Fractures with Biplane Double-Supported Screw Fixation Using Aiming Device

Abstract

Background/Purpose: Different surgical methods including internal fixation by either cannulated screws or a sliding hip screw device with a short plate, and total hip replacement have been proposed to treat the femoral neck fractures. The purpose of this study was to evaluate the clinical and functional outcomes of patients with femoral neck fractures treated with biplane double-supported screw fixation (BDSF) using an aiming device at an average follow-up of 3 years. Materials and Methods: From June 2012 to August 2016, we operated 67 patients with femoral neck fractures by BDSF with (Study group) or without (Control group) the aiming device. At follow-up, we compared Harris hip scores, fracture union, complications and revision with hip replacement. Results: There were significant differences between the two groups in average surgical time, length of surgical incision and the number of drilling for placing screws. In terms of the Harris hip scores, fracture union, rates of revision and complications, the study group proved to have slightly improvement compared with control group; however, there were no significant differences between the two groups. Conclusion: The results at 3 year follow-up of biplane double-supported fixation using aiming device is indicating that the surgical method is an easy and effective choice in the treatment of femoral neck fractures.

Keywords: Femoral neck fracture, biplane, screw, fixation, aiming device

Cite this Article

Dong-Won Mun, Mun-Sik Ko, Hyon-Ho Pak, Yong-In Kim, Yong-Chol Kim. Treatment of Femoral Neck Fractures with Biplane Double-Supported Screw Fixation Using Aiming Device. Research & Reviews: Journal of Medical Science and Technology. 2020; 9(3): 51–56p.