Dynamic locking plate vs. cannulated cancellous screw for displaced intracapsular hip fracture: A comparative study

Yaniv Warschawski; Tal Frenkel Rutenberg; Shai Factor; Adirian Tudor; Zachary Sharfman; Samuel Morgan; Adi Lichtenstein; Nimrod Snir

doi:10.1016/j.jor.2021.02.008

Dynamic locking plate vs. cannulated cancellous screw for displaced intracapsular hip fracture: A comparative study

J Orthop. 2021 Feb 12:24:15-18. doi: 10.1016/j.jor.2021.02.008. eCollection 2021 Mar-Apr.

Authors

Yaniv Warschawski¹, Tal Frenkel Rutenberg², Shai Factor¹, Adirian Tudor¹, Zachary Sharfman³, Samuel Morgan³, Adi Lichtenstein¹, Nimrod Snir¹

Affiliations

¹ Orthopedic Department, Tel Aviv Sourasky Medical Center, Ichilov Hospital, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
² Orthopedic Department, Rabin Medical Center, Beilinson Hospital, Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
³ Tel Aviv University, Israel.

Abstract

Introduction: There is no consensus regarding the optimal device for displaced intracapsular hip fractures. This retrospective study compared two techniques (1) cannulated cancellous screw (CCS), and (2) Targon Femoral Neck (TFN) plate.

Materials and methods: Data regarding gender, operational data, complications, pain, Quality of life and function scores were retrieved.

Results: 103 patients were included, 42 were treated using CCS, compared to 61 treated using TFN. Operative time shorter for CCS (p = 0.019). Complication rates were not different (p > 0.05).

Conclusion: As CCS method take shorter operating time and reduced costs, CCS should be used for the treatment of displaced ICHF.

Keywords: Cannulated cancellous screws; Displaced intracapsular hip fracture; Dynamic locking plate; Sub capital fracture; Targon femoral neck plate.