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A comparative study of early functional outcomes in undisplaced neck of femur fracture treated with partially threaded and fully threaded cannulated screw fixation in patients above 60 years age
Author(s)
Muhammad Zarak Awais Department of Orthopedic Surgery, Mayo Hospital, Lahore, Pakistan
Eman Salik Department of Orthopedic Surgery, Mayo Hospital, Lahore, Pakistan
Syed Hassan Raza Bokhari Punjab Rangers Teaching Hospita, Lahore, Pakistan.
Muhammad Tahir Iqbal Department of Orthopedic Surgery, Mayo Hospital, Lahore, Pakistan
Abstract
Methods: A randomized controlled trial was conducted at Orthopedic Unit-II, Mayo Hospital Lahiore, Pakistan from of femur fracture in terms of early functional outcomes in patients of age 60 and above. July 2021 to July 2022. A total of 82 (41 in each group) patients of both genders, aged 60 or above were included. All cannulated screw fixation (cancellous screws 6 mm) was done using partially threaded scrrews while fully threaded patients had garden Type-I or II and were mobile before they fractured the femoral neck were included. In Group-A, screws (cancellous screws 6 mm) were used in Group-B. Patients were followed up at six weeks, three months and six months interval for “Radiographic Union Scale for Hip (RUSH)” and “Harris Hip score”. postoperatively, no significant differences were seen between groups for Hip Harris pscore. However, at 6 th month, Results: In a total of 82 (41 in each group) patients, 66 (80.5%) we male. At 6th week (p=0540) and 3rd month (p=0.653) functional outcome of Group-B patients was significantly better as compared to Group-A (p=0.038). Mean RUSH score in Group-A and in Group-B at 6th month postoperative was 25.45±2.73 and 30.52±2.39 (p<0.001). Conclusion: Fully threaded cannulated screw fixation is better in treating undisplaced neck of femur fracture as compared to partially threaded cannulated screw fixation in terms of early functional outcomes among the age group of 60 years and above.
Publication Details
Page(s) 1531-1534
DOI 10.12669/pjms.39.5.7330
Published Journal: Pakistan Journal of Medical Sciences, Volume: 39, Issue: 5, Year: 2023
Keywords
RUSH score Cannulated screw Functional outcome Hip Harris score
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