The Open Orthopaedics Journal




ISSN: 1874-3250 ― Volume 13, 2019
RESEARCH ARTICLE

Role of Biplane Double Supported Screw Fixation For Fracture Neck Femur In Elderly Population: A Prospective Study



Anoop Kalia1, Jagdeep Singh2, *, Nasir Ali3
1 Department of Orthopaedics, Guru Nanak Dev Super Specialty Hospital, Tarn Taran, Punjab, India
2 Department of Orthopaedics, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India
3 Universal Hospital And Research Centre, Bettiah, Bihar, India

Abstract

Introduction:

The treatment of fracture neck femur varies according to the age of patient, the displacement of fracture fragments and the duration of the fracture. Various treatment options available for elderly are screw fixation, hemiarthroplasty and total hip arthroplasty.

Materials and Methods:

This is a prospective study done at authors institutes between January 2014- December 2016. 30 patients aged more than 50 years who sustained fracture neck femur were included in the study. 3 patients were lost to follow up and 2 patients died due to medical comorbidities. Out of the 25 remaining patients, 17 were males and 8 were females and they were operated by the biplane double supported screw fixation method (BDSF TECHNIQUE) and were followed up for a period of two years. The final Harris Hip Score at the last follow up was calculated.

Results:

Out of the 25 patients, the union was achieved in all the patients. The mean duration of union was 10 weeks. 1 patient had progressive femoral head resorption due to chondrolysis resulting in antalgic gait and unbearable pain and underwent total hip arthroplasty. The mean harris hip score was 81.2

Conclusion:

In elderly patients with osteoporosis and in those patients who can not afford arthroplasty or in those patients where arthroplasty is contraindicated, BDSF method is an alternate method for fixing fracture neck femur.

Keywords: Biplane double supported screw fixation, Osteoporosis, Fracture neck femur, Hemiarthroplasty, Total hip arthroplasty, Harris Hip Score.


Article Information


Identifiers and Pagination:

Year: 2018
Volume: 12
First Page: 514
Last Page: 524
Publisher Id: TOORTHJ-12-514
DOI: 10.2174/1874325001812010514

Article History:

Received Date: 5/7/2018
Revision Received Date: 25/10/2018
Acceptance Date: 28/10/2018
Electronic publication date: 30/11/2018
Collection year: 2018

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© 2018 Kalia et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


* Address correspondence to this author at the Department of Orthopaedics,, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India; Tel: +918054009123; E-mail: jagatwal83@gmail.com



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