BIPLANAR DOUBLE-SUPPORTED SCREW FIXATION METHOD IN OSTEOPOROTIC NECK OF FEMUR FRACTURES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 15
Abstract
BACKGROUND Femoral neck fracture is one of the common injuries sustained by elderly population, who due to their age and comorbidities have an unsteady gait and lower bone mineral density, thus increasing the risk of fractures around the hip. The Biplanar DoubleSupported Screw Fixation technique used in neck-of-femur fractures, was developed by Dr. O. Filipov. This technique is a new method for fixing femoral neck fractures by means of screws placed in a particular fashion and in different planes. This technique is based on the concept of establishing two supporting points for the implants, and their biplanar special orientation in the femoral neck and head. METHODS This is a prospective case series study of 18 osteoporotic neck of femur fractures having average follow up of 14 months. It also took into account the complications. Outcomes were documented with conventional radiographs, modified Harris Hip Score (Harris HS) questionnaire, and two more indicators for independent living namely- relief of pain (good/poor), and wearing socks and shoes (easy/difficult), were taken into account. RESULTS Patients’ demographic profile along with radiography, complications in terms of non-union/pseudoarthrosis, fixation failure, and avascular necrosis were very low. Majority of the patients had Harris hip score from good to excellent. Relief of pain and ability to wear socks and shoes were present in more than 80% of patients. CONCLUSIONS The technique-BDSF increases the fixation strength of fracture of neck of femur, has promising clinico-radiological results, and is a good method of treatment.
Authors and Affiliations
Siddharth Gupta, Vinit Yadav, Mohan Rao
Keywords
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- EP ID EP557391
- DOI 10.14260/jemds/2019/278
- Views 93
- Downloads 0
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