Kumar Shantanu Anand
BACKGROUND
Neck of femur fracture is one of the commonest fracture seen at all ages. It comprises 20% of all the fractures and 50% of all intracapsular fractures, only 15% of all the neck of femur (NOF) fracture is undisplaced, remaining 85% is displaced. Even in undisplaced neck of femur fractures, surgery is treatment of choice. Mechanism of injury in this is simple. Fall with force being transmitted to femoral neck via greater trochanter. There are other mechanism also.
MATERIALS AND METHODS
This is a prospective and retrospective study conducted at MGM Medical College, Kishanganj, in which 15 patients who is suffering from NOF fracture were selected randomly. All these patients were treated by closed reduction by Flynn method and internal fixation by three divergent cannulated screws with 10 mm distance from each other. Fixation was done under spinal or epidural anaesthesia. Preoperatively, optimal 3 kg surface traction was given in affected limb.
RESULTS
Out of 15 operated patients, 2 patients had implant failure due to fall and 3 patients did not turned up for surgery, hence these 5 patients were excluded from the study. Rest 10 patients were followed up at 4, 12, 24, 48 and 96 weeks. In 2 cases, there was nonunion. In 2 cases, fracture united after follow up of 14 months. A 2 years follow up was done for 6 patients in which there was no evidence of an avascular necrosis and all these cases had good healing.
CONCLUSION
In neck of femur fracture, our first intention injury of treatment is by internal fixation in young individuals as well as elderly population. We should never directly go for partial/full replacement in young individuals. We felt the most important thing, which should be kept in mind while operating is to do accurate reduction and rigid fixation with 3 parallel short headed cannulated screw.
