Is Proximal Femoral Locking Plate a Reliable Alternative to Sliding Hip Screw for Fixation of Femoral Neck Fractures in the Young? | ||
| The Egyptian Orthopaedic Journal | ||
| Volume 60, Issue 3, September 2025, Pages 181-186 PDF (590.14 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/EOJ.2025.449730 | ||
| Authors | ||
| Ahmad Hamdi Azzam* ; Mohamed Abdel Halim Kaddah; Mohamed Saied Abdel Maksoud; Mohamed Abdallah Mohamed Issa; Moustafa Raafat Mahmoud Hafez | ||
| Department of Orthopedic Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt. | ||
| Abstract | ||
| Background Intracapsular femoral neck fracture constitute a major entity of orthopedic trauma and of geriatric fractures, yet there is no clear consensus on the favored fixation modality regarding achievement of sound union with the least complication rate. Patients and Methods We conducted a retrospective observational study of 6o patients with intracapsular femoral neck fracture, 30 of them (Group A) had undergone DHS fixation while the other 30 (Group B) were fixed with proximal femoral locking plates. Results Both groups had no significant difference regarding age, gender, fracture type and preoperative medical comorbidities. Also, they showed no remarkable difference regarding operative time, blood loss and length of hospital stay. Concerning the postoperative period follow up that reached 12 months with a mean of 6 months, they showed similar union rates, functional scores, AVN and reoperation rates, with the preoperative displacement being the only statistically significant index that is predictive of functional outcome. Conclusions We believe that PFLP provide comparable results to those of sliding hip screw in management of intracapsular femoral neck fractures with the advantage of feasibility of post-fixation MRI studies. | ||
| Keywords | ||
| Avascular necrosis; Dynamic hip screw; Locking plates; Neck of femur fractures; Ununited femoral neck fracture | ||
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