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.authorAktuʇlu K.
dc.date.accessioned2024-07-22T08:13:29Z
dc.date.available2024-07-22T08:13:29Z
dc.date.issued2015
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.
dc.identifier.DOI-ID10.1016/j.injury.2015.05.028
dc.identifier.issn00201383
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/16352
dc.language.isoEnglish
dc.publisherElsevier Ltd
dc.subjectAdult
dc.subjectAged
dc.subjectBone Screws
dc.subjectFemale
dc.subjectFemoral Neck Fractures
dc.subjectFluoroscopy
dc.subjectFollow-Up Studies
dc.subjectFracture Fixation, Internal
dc.subjectFracture Healing
dc.subjectFractures, Ununited
dc.subjectHumans
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectOperative Time
dc.subjectPostoperative Complications
dc.subjectProspective Studies
dc.subjectTreatment Outcome
dc.subjectTurkey
dc.subjectadult
dc.subjectaged
dc.subjectArticle
dc.subjectbone maturation
dc.subjectcannulated screw
dc.subjectclinical article
dc.subjectcompression screw
dc.subjectcontrolled study
dc.subjectdevice comparison
dc.subjectdisease classification
dc.subjectdisease severity
dc.subjectfemale
dc.subjectfemur neck fracture
dc.subjectfluoroscopy
dc.subjectfollow up
dc.subjectfracture nonunion
dc.subjectfunctional status
dc.subjectHarris hip score
dc.subjecthuman
dc.subjectmale
dc.subjectmiddle aged
dc.subjectoperation duration
dc.subjectosteosynthesis
dc.subjectoutcome assessment
dc.subjectpostoperative complication
dc.subjectpriority journal
dc.subjectprospective study
dc.subjectpseudarthrosis
dc.subjectrandomized controlled trial
dc.subjectthorax radiography
dc.subjectbone screw
dc.subjectclinical trial
dc.subjectdevices
dc.subjectFemoral Neck Fractures
dc.subjectfracture healing
dc.subjectFractures, Ununited
dc.subjectmulticenter study
dc.subjectpathophysiology
dc.subjectPostoperative Complications
dc.subjectprocedures
dc.subjectradiography
dc.subjecttreatment outcome
dc.subjectTurkey
dc.titleShould full threaded compression screws be used in adult femoral neck fractures?
dc.typeArticle

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