Outcome Assessment of Surgical Treatment of Femoral Neck Fracture in Adults by Screw Fixation: Short Term Results

Femoral neck fractures is uncommon but serious injuries in young adult with high complication rate. This study was designed to evaluate the outcome of surgical treatment of such a fracture fixed by screw in. In a deh1ive prospective study form 2006 to 2009 42 patients with the mean age of 37 years (15–60 yrs) were treated by closed or open reduction and screw fixation for femoral neak fractures in two university hospitals in Ahvaz- Iran. They all received surgery within the first 24 hours after injury. They were followed for 15 months on average. In accordance with Garden classification 2 patients were type I 3 type II 18 type III and 19 type IV Gorden fractures. Thirty two cases were fixed by open reduction and fixation and 10 by closed reduction. Union was achieved in 30 pateints. The 12 (28.6%) cases of nonunion were seen in the ones who received open reduction and fixation. Avascular necrosis was observed in 7 patients (16.7%) 4 of whom had obtained union. Femoral neck fracture is associated with high complication rate in particular if open reduction becomes necessary.