Mid-Term Radiological Outcomes of Femoral Neck Fractures Treated With Osteosynthesis: A Comparative Analysis

Mid-Term Radiological Outcomes of Femoral Neck Fractures Treated With Osteosynthesis: A Comparative Analysis

OBJECTIVES: This study assesses the efficacy of dynamic hip screw (DHS) versus cannulated screws for femoral neck fractures, focusing on femoral neck shortening, avascular necrosis (AVN) incidence, and functional outcomes.

METHODS:

Design: Retrospective cohort study. Setting: Academic Level I Trauma Center. Patient Selection Criteria: Included were patients with femoral neck fractures treated with DHS or cannulated screws, with follow-up data available.

Outcome Measures and Comparisons: Main outcomes were femoral neck shortening, incidence of AVN, and Harris Hip Score (HHS) for functional assessment.

Inclusion Criteria:

• Patients aged 80 years and younger
• Minimum of 2 years' follow-up
• Diagnosed with a femoral neck fracture
• Treated with either cannulated screws or a Dynamic Hip Screw (DHS).

Exclusion Criteria:

• Patients with multiple fractures in the same extremity
• Presence of malignancy
• Diagnosis of osteoporosis
• Systemic inflammatory or metabolic diseases
• Infection or malignancy in the hip joint
• Insufficient medical records
• Patients unwilling to participate in the study.