Femoral Neck Fracture Treated with Dynamic Hip Screw System with De-rotation Screw Versus Cannulated Hip Screws

Background: Fracture neck of femur has always presented a great challenge to orthopedic surgeons due its nature going into non-union and osteonecrosis femoral head even with the best fixation method adequate reduction. Treatment fracture varies according patient’s age pattern. Purpose this study was compare outcome DHS side plate de-rotation screw multiple cannulated hip screws in adult.
 Materials methods: This quasi-experimental carried out Department Orthopedic Surgery, Chittagong Medical College Hospital from July 2017 June 2019. Sixty patients limit between 18 55 years, (AO/OTA 31-B) taken by purposive sampling technique as per set criteria were treated either or screws. Harris Hip Score used for evaluation functional surgery. 
 Results: In study, 60 patients, male (83%) more than female (17%), maximum incidence found 26-36 years group (30%), left involvement 51.7% right 48.3%. Over 60% RTA. Functional 68% excellent 24% good 55.6% 25.9% Score. Only 6.7% had soft tissue infection, 13.3% deep seated infection delayed union, 10% stiffness AVN de- rotation 13.33% group. Mean ± SD radiological union time 12.5 1.225 weeks 13.61 1.559 weeks.
 Conclusion: The better adults.
 JCMCTA 2022 ; 33 (1) : 112-117