Outcomes of closed reduction and percutaneous cannulated screws in femoral neck fractures: A prospective cohort study

ABSTRACT Background: Femoral neck fractures (FNFs) in younger individuals pose unique challenges, often requiring effective intervention to optimize clinical outcomes and minimize complications, highlighting the need for evaluation of the treatment employed. Hence, this study aimed to assess the outcomes of acute FNFs managed by closed reduction and percutaneous compression screws. Methods: Forty-five hips were prospectively included in this cohort study conducted at the Department of Orthopedics, King Khalid Hospital, Hail, Saudi Arabia. Outcomes were assessed utilizing the Harris Hip Score (HHS). Results: Within an average follow-up of 3 years, the average HHS was 87.9, with thirty patients (66.7%) attaining excellent, good, or fair results. Only one patient (2.2%) of the 45 patients needed walking aids, while 44 (97.8%) were capable of walking independently. There had been no instances of nonunion. HHS was affected by gender ( P = 0.013), nature of reduction ( P = 0.001), screw configuration ( P = 0.004), timeframe for functional recovery ( P = 0.025), Garden classification ( P = 0.001), Pauwels classification ( P = 0.001), and neck–shaft angle ( P = 0.018). Conclusion: Employing closed reduction and percutaneous cannulated screws in those with FNFs resulted in fruitful outcomes.