Should full threaded compression screws be used in adult femoral neck fractures?

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dc.contributor.authorOkcu G.
dc.contributor.authorÖzkayin N.
dc.contributor.authorErkan S.
dc.contributor.authorKoray Tosyali H.
dc.contributor.authorAktu?lu K.
dc.date.accessioned2019-10-26T21:26:23Z
dc.date.available2019-10-26T21:26:23Z
dc.date.issued2015
dc.departmentEge Üniversitesien_US
dc.description.abstractIntroduction Operative treatment consisting of fracture reduction and fixation, or arthroplasty to permit early patient mobilization, continues to be the treatment of choice for most femoral neck fractures. Options for internal fixation have included a variety of implants; however most recent reports and textbooks cite parallel multiple cancellous screws as the surgical technique of choice. Methods The study was prospective, randomized and IRB approved. Inclusion criteria included skeletal maturity, closed femoral neck fracture without concomitant fractures or injuries with complete charts and adequate radiographs obtained from the initial injury till the last follow-up. Forty-four patients were enrolled in this study during one-year period at two university centers. 22 were randomized to be treated with full threaded, cannulated compression screws (Acutrak 6/7, ACUMED) (Group 1) and the other 22 with 16 mm partial threaded, 6.5 mm or 7.3 mm cannulated screws (SYNTHES) (Group 2). Three or four screws were used in both groups according to fracture type and surgeon's preference. Data evaluated included surgical time, fluoroscopy time, fracture type, radiological outcome, complications and functional status using the Harris Hip Score. Results Both groups were comparable in terms of age and gender. There was not a significant difference in terms of surgical time, follow-up period, fracture type, or fluoroscopy time. There were eight complications in Group 1 and two in Group 2 (P = 0.049) Time to union was significantly longer in Group 1 (P = 0.001). However, Hip Scores were not significantly different in both groups (P = 0.20). Conclusion When compared with full threaded compression screws, partial-threaded cannulated screws provides a shorter union time and less complication rate while providing equivalent functional results in adult femoral neck fractures. © 2015 Elsevier Ltd. All rights reserved.en_US
dc.identifier.doi10.1016/j.injury.2015.05.028en_US
dc.identifier.endpageS28en_US
dc.identifier.issn0020-1383
dc.identifier.issueS2en_US
dc.identifier.pmid26021662en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpageS24en_US
dc.identifier.urihttps://doi.org/10.1016/j.injury.2015.05.028
dc.identifier.urihttps://hdl.handle.net/11454/17341
dc.identifier.volume46en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Ltden_US
dc.relation.ispartofInjuryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectFemoral neck fractureen_US
dc.subjectInternal fixationen_US
dc.subjectNonunionen_US
dc.subjectOperative treatmenten_US
dc.titleShould full threaded compression screws be used in adult femoral neck fractures?en_US
dc.typeArticleen_US

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