PT  - JOURNAL ARTICLE
AU  - Bukhary, Hashem A.
AU  - Aljuaid, Fahd I.
AU  - Alhomayani, Khalid M.
AU  - Saati, Abdulelah A.
AU  - Aldosari, Amaal M.
AU  - Hammadi, Wateen A.
AU  - Qutbuddeen, Hamed S.
AU  - Wazuddin, Abdulhafiz A.
AU  - Hammadi, Haneen A.
AU  - Jawhari, Amjad M.
TI  - Treatment of non-displaced intracapsular femoral neck fractures with dynamic hip and cannulated screws resulting in avascular necrosis
AID  - 10.15537/smj.2024.45.1.20230684
DP  - 2024 Jan 01
TA  - Saudi Medical Journal
PG  - 54--59
VI  - 45
IP  - 1
4099  - http://smj.org.sa/content/45/1/54.short
4100  - http://smj.org.sa/content/45/1/54.full
SO  - Saudi Med J2024 Jan 01; 45
AB  - 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.