ArticleCureus2022
A Comparative Study of Dynamic Hip Screw Versus Multiple Cannulated Compression Screw Fixation in Undisplaced Intracapsular Neck of Femur Fractures.
Article in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 7 citations in OpenAlex.
- Biomechanical study of medial buttress plate combined with cannulated compression screws for pauwels type III femoral neck fractures using formalin-fixed human cadaveric femora.BMC musculoskeletal disorders · 2026Article
- Article
- Dynamic hip screw versus cannulated cancellous screws fixation for osteosynthesis of femoral neck fractures in adults: a retrospective comparative study.International journal of burns and trauma · 2026Article
- Biomechanical evaluation of novel construct for stabilizing subcapital femoral neck fractures: a synthetic bone model.BMC musculoskeletal disorders · 2025Article
- Is DHS with Fibular Strut Graft Superior for the Fixation of Comminuted Femoral Neck Fractures (FNF)? A Comparative Analysis with New Implant Femoral Neck System.Indian journal of orthopaedics · 2025Article
- The dynamic locking blade plate: seven-year follow-up results of 389 patients with a femoral neck fracture.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Treatment of non-displaced intracapsular femoral neck fractures with dynamic hip and cannulated screws resulting in avascular necrosis: A comparative study of complications.Saudi medical journal · 2024Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background Femoral neck fractures are common injuries. Although many studies have compared two-hole dynamic hip screw (DHS) versus multiple cannulated cancellous screw (CCS) fixation for undisplaced intracapsular fractured neck of femurs (NOF), there is no consensus on which surgical technique results in better outcomes. The aim of our study was to compare DHS and CCS for undisplaced NOFs. The primary outcomes were reoperation and mortality rates at one year postoperatively. Methodology A retrospective analysis was performed involving all patients who underwent fixation with DHS/CCS for an undisplaced intracapsular NOF at our hospital between January 2016 and December 2020. All patients had a minimum follow-up time greater than one year. All patients underwent a standardised NOF protocol. Patients either underwent DHS or CCS fixation according to surgeon preference, and there was no randomisation to either group. Results A total of 41 patients underwent fixation with DHS compared to 32 who underwent CCS. The reoperation rate at one year was 9.8% in the DHS group compared to 6.3% in the CCS group. This difference was not statistically significant (p = 0.588). The one-year mortality rate was similar between groups at 22.0% and 21.9% in the DHS group and the CCS group, respectively (p = 0.994). Registrar-level surgeons performed 80.5% of DHS compared to 59.4% of CCS, and consultant surgeons performed 4.9% of DHS compared to 25% of CCS. Conclusions There was no significant difference in revision rates or complications seen between CCS and DHS. A significantly higher percentage of CCS fixations were performed by consultant-grade surgeons at our hospital compared to DHS. This study provides further data on the choice of fixation method for intracapsular fractures. It also reports on the grade of the operating surgeon at our unit, which may be a factor in the quality of fixation and ultimately reoperation rates.
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