Cannulated Screws vs Dynamic Hip Screw for Treatment of Femoral Neck Fractures in Adults: A Meta-Analysis | ||
| The Egyptian Orthopaedic Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 01 November 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/eoj.2025.417796.1076 | ||
| Authors | ||
| Ebrahim Mohamed Shams Eldeen* ; Ayman Yousef Eltabbaa; Mohamed Osama Mohamed Aboramadan; Mamdouh Ibrahim Fouad Esmaiel Lashen | ||
| Orthopedic Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt | ||
| Abstract | ||
| Background: The neck fractures of femur prevalence, constituting 3.6% of all fractures and 53-56% of hip fractures, is rising globally in conjunction with the aging population trend. The purpose of the research: To compare the effectiveness of the Dynamic Hip Screw (DHS) and Cannulated Screws (CS) in the neck fractures of the femur in adult participants. Material and methods: A meta-analysis study. The study duration ranged from August 2023 to August 2024. Criteria for the inclusion of papers in this review. Results: the current meta-analysis revealed that DHS and CS have similar complications including infection rate, femoral shortening/varus collapse, metal failure, ANV, non-union, and reoperation. While a statistically significant difference between DHS and CS groups regarding incision length, operating time, blood loss and length of hospital stay. Conclusions: This meta-analysis discovered DHS and CS have similar complication rates, including infection, femoral shortening, metal failure, avascular necrosis, non-union, and reoperation. However, CS demonstrated superior perioperative outcomes, with significantly shorter incision length, reduced operating time, reduced hemorrhage and shorter hospitalizations compared to DHS. These findings support the perioperative advantages of CS over DHS. Further large-scale, multicenter randomized controlled trials are required to enhance assess their comparative efficacy and safety in specific femoral neck fracture types. | ||
| Keywords | ||
| Dynamic Hip Screw; Cannulated Screws; Femoral Neck Fractures; Incision Length | ||
|
Statistics Article View: 1 |
||
