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.

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Key information

Conditions

Femoral Neck Fractures Femoral Fractures Femoral Neck Shortening Fractures, Bone Hip Fractures Hip Injuries Leg Injuries Wounds and Injuries

Age range

20 year–80 year

Sex eligibility

All sexes

Study type

Observational

Primary location

University

Istanbul, 34093, Turkey (Türkiye)

Who can participate

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

Femoral neck shortening measurement

Diagnostic Test

We examine femoral neck shortening in patients with femoral neck fractures.

Primary outcomes

Harris Hip score

Time frame: minimum 2 years

Hip functional score

Sponsors and collaborators

Lead sponsor

Istanbul University

Other

Registry information

Important dates

Study start: 2022
Primary completion: 2023
Study completion: 2023
First posted: Feb 16, 2024
Registry last updated: Feb 16, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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Completed