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Treatment by internal fixation with cannulated screws in patients with femoral neck fracture at the hospital luis vernaza

Abstract:

Introduction: To evaluate the functional outcome of patients with displaced femoral neck fracture treated with internal fixation with cannulated screws at the Hospital Luis Vernaza, Ecuador. Materials and methods: A retrospective study was conducted in 15 patients with displaced femoral neck fracture, treated by internal fixation with cannulated screws during the period 2015 to 2017 in the Traumatology Service at the Hospital Luis Vernaza. Functional outcome was measured using the Merle D’Aubigné scale at 12 months. Results: Out of the studied population, 86.6% (n=13) <65 years old and 13.4% (n=2) ≥65 years old. The functional outcome obtained according to the Merle D’Aubigné scale was: very good (33.3%; n=5), good (33.3% n=5), regular (20%; n=3), and poor (13.4%; n=2), highlighting the presence of pain and mobility disorders in the last 4 patients. Conclusion: Patients with displaced femoral neck fracture treated by internal fixation with cannulated screws presented a good or a very good functional result in most cases after 12 months of follow-up. This data indicates the potential utility of this surgical procedure in patients younger than 65 years.