Treatment of non-displaced intracapsular femoral neck fractures with dynamic hip and cannulated screws resulting in avascular necrosis: A comparative study of complications

Authors

• Hashem A. Bukhary, From the Department of Surgery (Bukhary, Aljuaid, Alhomayani), Orthopaedic Division; from the College of Medicine (Jawhari), Taif University, from the Department of Orthopedic Surgery (Saati), King Abdulaziz Specialist Hospital, Taif, from the Department of Orthopedic Surgery (Aldosari), Al Noor Specialist Hospital, from the Department of Orthopedic Surgery (Qutbuddeen), King Abdulaziz Hospital, from the Department of Orthopedic Surgery (Wazuddin), King Faisal Hospital, Makkah, from the Department of Orthopedic Surgery (W. A. Hammadi), King Fahd Specialist Hospital, Dammam, Kingdom of Saudi Arabia, and from the Department of Surgery (H. A. Hammadi), College of Medicine, University of Saskatchewan, Saskatchewan, Canada.
• Fahd I. Aljuaid, From the Department of Surgery (Bukhary, Aljuaid, Alhomayani), Orthopaedic Division; from the College of Medicine (Jawhari), Taif University, from the Department of Orthopedic Surgery (Saati), King Abdulaziz Specialist Hospital, Taif, from the Department of Orthopedic Surgery (Aldosari), Al Noor Specialist Hospital, from the Department of Orthopedic Surgery (Qutbuddeen), King Abdulaziz Hospital, from the Department of Orthopedic Surgery (Wazuddin), King Faisal Hospital, Makkah, from the Department of Orthopedic Surgery (W. A. Hammadi), King Fahd Specialist Hospital, Dammam, Kingdom of Saudi Arabia, and from the Department of Surgery (H. A. Hammadi), College of Medicine, University of Saskatchewan, Saskatchewan, Canada.
• Khalid M. Alhomayani, From the Department of Surgery (Bukhary, Aljuaid, Alhomayani), Orthopaedic Division; from the College of Medicine (Jawhari), Taif University, from the Department of Orthopedic Surgery (Saati), King Abdulaziz Specialist Hospital, Taif, from the Department of Orthopedic Surgery (Aldosari), Al Noor Specialist Hospital, from the Department of Orthopedic Surgery (Qutbuddeen), King Abdulaziz Hospital, from the Department of Orthopedic Surgery (Wazuddin), King Faisal Hospital, Makkah, from the Department of Orthopedic Surgery (W. A. Hammadi), King Fahd Specialist Hospital, Dammam, Kingdom of Saudi Arabia, and from the Department of Surgery (H. A. Hammadi), College of Medicine, University of Saskatchewan, Saskatchewan, Canada.
• Abdulelah A. Saati, From the Department of Surgery (Bukhary, Aljuaid, Alhomayani), Orthopaedic Division; from the College of Medicine (Jawhari), Taif University, from the Department of Orthopedic Surgery (Saati), King Abdulaziz Specialist Hospital, Taif, from the Department of Orthopedic Surgery (Aldosari), Al Noor Specialist Hospital, from the Department of Orthopedic Surgery (Qutbuddeen), King Abdulaziz Hospital, from the Department of Orthopedic Surgery (Wazuddin), King Faisal Hospital, Makkah, from the Department of Orthopedic Surgery (W. A. Hammadi), King Fahd Specialist Hospital, Dammam, Kingdom of Saudi Arabia, and from the Department of Surgery (H. A. Hammadi), College of Medicine, University of Saskatchewan, Saskatchewan, Canada.
• Amaal M. Aldosari, From the Department of Surgery (Bukhary, Aljuaid, Alhomayani), Orthopaedic Division; from the College of Medicine (Jawhari), Taif University, from the Department of Orthopedic Surgery (Saati), King Abdulaziz Specialist Hospital, Taif, from the Department of Orthopedic Surgery (Aldosari), Al Noor Specialist Hospital, from the Department of Orthopedic Surgery (Qutbuddeen), King Abdulaziz Hospital, from the Department of Orthopedic Surgery (Wazuddin), King Faisal Hospital, Makkah, from the Department of Orthopedic Surgery (W. A. Hammadi), King Fahd Specialist Hospital, Dammam, Kingdom of Saudi Arabia, and from the Department of Surgery (H. A. Hammadi), College of Medicine, University of Saskatchewan, Saskatchewan, Canada.
• Wateen A. Hammadi, From the Department of Surgery (Bukhary, Aljuaid, Alhomayani), Orthopaedic Division; from the College of Medicine (Jawhari), Taif University, from the Department of Orthopedic Surgery (Saati), King Abdulaziz Specialist Hospital, Taif, from the Department of Orthopedic Surgery (Aldosari), Al Noor Specialist Hospital, from the Department of Orthopedic Surgery (Qutbuddeen), King Abdulaziz Hospital, from the Department of Orthopedic Surgery (Wazuddin), King Faisal Hospital, Makkah, from the Department of Orthopedic Surgery (W. A. Hammadi), King Fahd Specialist Hospital, Dammam, Kingdom of Saudi Arabia, and from the Department of Surgery (H. A. Hammadi), College of Medicine, University of Saskatchewan, Saskatchewan, Canada.
• Hamed S. Qutbuddeen, From the Department of Surgery (Bukhary, Aljuaid, Alhomayani), Orthopaedic Division; from the College of Medicine (Jawhari), Taif University, from the Department of Orthopedic Surgery (Saati), King Abdulaziz Specialist Hospital, Taif, from the Department of Orthopedic Surgery (Aldosari), Al Noor Specialist Hospital, from the Department of Orthopedic Surgery (Qutbuddeen), King Abdulaziz Hospital, from the Department of Orthopedic Surgery (Wazuddin), King Faisal Hospital, Makkah, from the Department of Orthopedic Surgery (W. A. Hammadi), King Fahd Specialist Hospital, Dammam, Kingdom of Saudi Arabia, and from the Department of Surgery (H. A. Hammadi), College of Medicine, University of Saskatchewan, Saskatchewan, Canada.
• Abdulhafiz A. Wazuddin, From the Department of Surgery (Bukhary, Aljuaid, Alhomayani), Orthopaedic Division; from the College of Medicine (Jawhari), Taif University, from the Department of Orthopedic Surgery (Saati), King Abdulaziz Specialist Hospital, Taif, from the Department of Orthopedic Surgery (Aldosari), Al Noor Specialist Hospital, from the Department of Orthopedic Surgery (Qutbuddeen), King Abdulaziz Hospital, from the Department of Orthopedic Surgery (Wazuddin), King Faisal Hospital, Makkah, from the Department of Orthopedic Surgery (W. A. Hammadi), King Fahd Specialist Hospital, Dammam, Kingdom of Saudi Arabia, and from the Department of Surgery (H. A. Hammadi), College of Medicine, University of Saskatchewan, Saskatchewan, Canada.
• Haneen A. Hammadi, From the Department of Surgery (Bukhary, Aljuaid, Alhomayani), Orthopaedic Division; from the College of Medicine (Jawhari), Taif University, from the Department of Orthopedic Surgery (Saati), King Abdulaziz Specialist Hospital, Taif, from the Department of Orthopedic Surgery (Aldosari), Al Noor Specialist Hospital, from the Department of Orthopedic Surgery (Qutbuddeen), King Abdulaziz Hospital, from the Department of Orthopedic Surgery (Wazuddin), King Faisal Hospital, Makkah, from the Department of Orthopedic Surgery (W. A. Hammadi), King Fahd Specialist Hospital, Dammam, Kingdom of Saudi Arabia, and from the Department of Surgery (H. A. Hammadi), College of Medicine, University of Saskatchewan, Saskatchewan, Canada.
• Amjad M. Jawhari, From the Department of Surgery (Bukhary, Aljuaid, Alhomayani), Orthopaedic Division; from the College of Medicine (Jawhari), Taif University, from the Department of Orthopedic Surgery (Saati), King Abdulaziz Specialist Hospital, Taif, from the Department of Orthopedic Surgery (Aldosari), Al Noor Specialist Hospital, from the Department of Orthopedic Surgery (Qutbuddeen), King Abdulaziz Hospital, from the Department of Orthopedic Surgery (Wazuddin), King Faisal Hospital, Makkah, from the Department of Orthopedic Surgery (W. A. Hammadi), King Fahd Specialist Hospital, Dammam, Kingdom of Saudi Arabia, and from the Department of Surgery (H. A. Hammadi), College of Medicine, University of Saskatchewan, Saskatchewan, Canada.

Abstract

Objectives: To compare the complications associated with cannulated hip screws (CHS) and dynamic hip screws (DHS) techniques. Methods: In this multicenter retrospective chart study, we reviewed the records and data of all patients operated upon by DHS or CHS for treatment of Garden type I and type II intracapsular non-displaced femoral neck fracture from January 2017 to December 2022. Patients with incomplete files or follow-ups of less than one year were excluded from the study. Results: The study enrolled 85 patients, 35 males, and 50 females, with a mean age of 72±5.4 for males and 70.6±7.6 for females. A total of 44 patients were operated upon with DHS, and 41 patients with CHS. The mortality rate of DHS was 15.9% and was 17.1% in the CHS group ( p >0.05). Non-union was recorded in 4.5% of the DHS group and 4.9% of CHS patients ( p >0.05). Avascular necrosis (AVN) was significantly higher in DHS (9.1%) than in CHS (4.9%, p <0.05). A revision was required in 15.9% of DHS patients and 14.6% of CHS patients ( p >0.05). Conclusion: This study found that DHS was superior to CHS in AVN rate. However, there was no significant difference between both methods regarding mortality, revision, and non-union.

Article Type

Research Article

First Page

54

Last Page

59

Recommended Citation

Bukhary, Hashem A.; Aljuaid, Fahd I.; Alhomayani, Khalid M.; Saati, Abdulelah A.; Aldosari, Amaal M.; Hammadi, Wateen A.; Qutbuddeen, Hamed S.; Wazuddin, Abdulhafiz A.; Hammadi, Haneen A.; and Jawhari, Amjad M. (2024) "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: Vol. 45: Iss. 1, Article 9.
DOI: https://doi.org/10.15537/smj.2024.45.1.20230684