APPRAISAL OF CLINICAL OUTCOME OF BIPLANE DOUBLE SUPPORTED SCREW FIXATIONS (BDSF) FOR FEMORAL NECK FRACTURES

Abstract

Background: Over the years, primary hip arthroplasty has become a popular choice of management modality for intracapsular fracture neck of femur in geriatric hip. Although the complication of nonunion and avascular necrosis (AVN) is nullied by arthroplasty, the probability of re-operation and high surgical stress is substantially high as compare to osteosynthesis. The aim of this study was to determine the clinical outcome of biplane double supported screw xation (BDSF) for femoral neck fracture. Material And Methods: A total of 37 patients (15 males, 22 females) with a mean age of 75.97 years underwent BDSF for femoral neck fracture and were followed up for a period of 10-12 months. They were assessed on the basis of improvement in Harris Hip Score (HHS) and Garden Index. Results: After BDSF the union was achieved in 89.18% (33) patients.The mean HHS was 91.027 points and a garden index of 161-170 was achieved in 56.76% (21) patients at one year of follow up. The majority of patients had good to excellent functional outcomes. The average time of clinico-radiological union was 9.3 weeks. BDSF method used in femoral neck fracture Conclusion: xation has given very good results in this study. Though anatomical reduction is crucial, BDSF method ensures reliable xation, early rehabilitation and good functional outcome especially in elderly