Management of Fracture Neck Femur in Adults by Dynamic Hip Screw Versus Cannulated Screws: Meta Analysis Study | ||||
| Zagazig University Medical Journal | ||||
| Articles in Press, Accepted Manuscript, Available Online from 26 August 2025 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/zumj.2025.407457.4075 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Adel Mohamed Salama1; Tarek Abdelsamad Elhewala 1; Mohamed Ahmed Fawzi Eltaweel  2; Salah Mahmoud Abdelkader3
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| 1Professor of Orthopedic Surgery Department, Faculty of Medicine, Zagazig University, Egypt | ||||
| 2Department of Orthopedic Surgery, Faculty of Medicine, Zagazig University, Egypt | ||||
| 3Lecturer of Orthopedic Surgery Department, Faculty of Medicine, Zagazig University, Egypt | ||||
| Abstract | ||||
| Background: A common orthopedic injury that is becoming more widespread as a result of aging populations and traffic accidents is a femoral neck fracture. Common fixation techniques include cannulated screws (CS) and dynamic hip screws (DHS), particularly for young patients and non-displaced fractures. Therefore, this Meta analysis aimed to provide the optimal fixation method of adult femur neck fracture by looking over research on numerous cannulated screws and dynamic hip screws. Methods: The Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) statement standards were followed in the conduct of this meta-analysis study. In order to find pertinent published material, we searched the MED-LINE, PubMed, Springer, Google Scholar, and Cochrane Library databases. A search including the terms: “fracture neck of femur” “adult” “plating” “dynamic hip screw” “cannulated screws”. Results: This meta-analysis, which included 14 studies with a total of 1815 patients, demonstrated that Dynamic Hip Screw (DHS) was significantly associated with lower rates of reoperation and non-union compared to Cannulated Screws (CS). Conversely, CS showed a significantly lower rate of superficial infections and smaller incisional size. No significant differences were observed between both techniques in terms of avascular necrosis, failure rate, varus collapse, or mortality. Conclusion: DHS fixation provides superior outcomes in reducing reoperation and non-union rates, while CS offers advantages in minimizing superficial infections and surgical invasiveness. Both methods showed comparable results regarding avascular necrosis, fixation failure, varus collapse, and mortality. The choice of fixation should therefore be individualized based on patient factors and fracture characteristics. | ||||
| Keywords | ||||
| Fracture of the femur neck; Dynamic hip screw; Orthopedic surgery; Meta-Analysis; Cannulated screws | ||||
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