Haziq Dad Khan, Tariq Ahmad, Zahir Khan.
Outcome of Late Fixation of Fracture Neck of Femur in Young Adults by Multiple Cannulated Screws.
Ophthalmol Update Jan ;16(4):873-6.

Objective: To analyze the results of multiple cannulated screws in patients with fracture neck of femur in young adults with age less than 60 years. Methods: It was descriptive case study in which 54 patients were selected with fracture neck of femur from January 2013 to December 2016 at Mardan medical complex Mardan.35 patients were male and 19 were female. Patients were operated 3-4 days after trauma due to late arrival and preparation for surgery. Patients were followed for one year after surgery. Patients were classified according to Garden Classification. The anatomical reduction was assessed by Garden Anatomical Index on Hip X rays performed in antero-posterior and Lateral views. Post-operative results were analyzed during follow up period. Results: In 54 patients Garden 1(G1) cases were 4, Garden 2 (G2) cases were 19. Garden 3 (G3) group cases were 24 while 7 cases were in Garden 4(G4) group. Avascular necrosis and nonunion was observed in 11 cases. These patients were having displaced fracture and were in G3 and G4 groups. In these patients 2 cases were re operated by using fibular Graft. While 4 patient were selected for total Hip replacement. AVN was in 19% cases and Nonunion was in 3% case. Patients in G1 and G2 groups had good and excellent results. Innon-displaced group 100% union was observed. Conclusion: In young Adults with displaced fracture neck of femur, early fixation with multiple cannulated screws and proper anatomical reduction can save patients from lifelong limb disabilities.

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