Osteosynthesis of Fracture Neck Femur in the Sixth and Seventh Decades of Life

Abstract

AIM: Fracture neck of femur is common in elderly people due to osteoporosis or osteomalacia. The aim of this study is to assess the results of internal fixation of fracture neck femur in the sixth and seventh decades of life by dynamic hip screw (DHS) and antirotation screw.

MATERIALS AND METHODS: 38 patients with displaced fracture neck femur were included in this study. The ages ranged from 50 to 69 years with an average of 61 years. 22 patients were males and 16 were females. All patients were treated by closed reduction and internal fixation by DHS and antirotation screw.

RESULTS: Bone union was achieved in all patients except four. The time to bone union ranged from 3 to 8 months with an average of 5 months. The time to full weight bearing ranged from 2 to 7 months with an average of 4 months. The complications included superficial wound infection in 3 cases, nonunion in 4 cases and osteonecrosis in 3 cases.

CONCLUSION: Internal fixation by DHS and antirotation screw is a good method for treatment of fracture neck femur in the sixth and early seventh decades of life. It provides sufficient stability that allows for early weight bearing and increases the chances of bone union.