Evaluation of the results of dynamic hip screw (dhs) fixation as a treatment modality in femoral neck fractures in adults – a consecutive study based on 60 fractures

Abstract

Sixty femoral neck fractures in adults were treated with Dynamic Hip Screw (DHS) as a standard treatment from April 2010 to June 2011 and last follow up was completed in June 2013. Average age at presentation was 56.3 years. The interval between injury and surgery averaged 4.3 days, with 90% of cases operated within one week. All patients were followed for a minimum of 24 months and averaged 28 months in our series. The average time for union in our cases was 4 months and ranged between 3 to 5 months. Among complications 4 (6.67%) cases developed non-union, and out of 56 united fractures 4 (7.14%) cases developed avascular necrosis. Good to Excellent results were achieved in 42 (70%), Fair in 10 (16.67%) and Poor in 8 (13.3%) cases. Our series showed a high union rate of fractures using Dynamic hip screw fixation in femoral neck fractures.