No other significant differences were found between the two interventions.Ĭancellous screws Femoral neck fractures Internal fixation Sliding hip screws. The aim of the study was to describe the prevalence of co-morbidities, complications and causes of death and to investigate factors that are able to predict mortality in old people with femoral neck fracture. There was no significant difference in terms of operative time, postoperative hip function, nonunion, avascular necrosis, reoperation rate, infection, fracture healing, hip pain, medical complications, and mortality rate.īased on our study, the cancellous screws group was associated with less intraoperative blood loss in comparison with the SHS group. The poor outcome after a hip fracture is not fully understood. The pooled estimate showed that the SHS group was associated with more intraoperative blood loss (MD = 110.01 ml, 95% CI, p = 0.00002) than the cancellous screws. Ten RCTs involving 1934 patients were included in the final analysis. Isolated femoral head or lesser trochanteric fractures are very rare. Heterogeneity was assessed by Chi-square test. Femoral neck fractures also require surgery, but are treated differently as discussed later. These were pooled as risk ratio or mean difference (MD) with their corresponding 95% confidence interval (CI). Data retrieved included operative details, nonunion rate, avascular necrosis, reoperation, infection and mortality, hip pain, functional hip scores, and medical complications. after fracture of the Treatment of medial femoral neck fractures ) Popov PV. Randomized controlled trials (RCTs) directly comparing the clinical outcomes of SHS and cancellous screws for femoral neck fractures were retrieved with no language or publication year restrictions. Fazzalari following fractures of the femoral neck, by early reduction. We searched PubMed, Scopus, Web of Science, and Cochrane CENTRAL, up to December 2017. We performed this systematic review and meta-analysis study to compare the clinical outcomes of SHS and cancellous screws for the treatment of femoral neck fractures in adult patients. However, there is paucity of information as to which is the superior treatment modality. Both sliding hip screws (SHS) and cancellous screws are used in the surgical management of intracapsular femoral neck fracture.
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