A Study of radiological outcome in young patients with trans-cervical neck femur fracture operated with closed reduction and 3 screw fixation

A study was carried out at a tertiary care centre to analyze the radiological outcome in young patients who had sustained a transcervical neck femur fracture and were treated with closed reduction and internal fixation. The demographic and radiological data of 40 such patients operated between June 2012 and December 2013 was studied retrospectively. Patients were classified on the basis of Displacement of fracture and Acceptability of Osteosynthesis. The effect of these two determinants on union and final radiological outcome of the patient and various complications were analyzed. A total of 26 patients (65%) had acceptable Osteosynthesis whereas 14 (35%) had unacceptable osteosynthesis. 27 patients showed union at 6 months or less, 7 patients at 9 months and 1 patient at 12 months. Nonunion occurred in 5 patients. Mean time to union was 4.96 months. A very strong correlation was found between linear collapse and varus collapse at 12 months. 40% of patients (16 out of 40) were operated within 12 hours of injury, 42% between 12 to 24 hours and a further 18% were operated after 24 hours of injury. No relation was found between Injury-Surgery interval and time to union.