PERCUTANEOUS OSTEOSYNTHESIS WITH 2 SCREWS IN TREATING FEMORAL-NECK FRACTURES

In a consecutive, retrospective study, 182 patients were followed 1 ye ar after surgical treatment of a fractured femoral neck. The patients were admitted on alternate days to the neighboring departments of orth opedic surgery O and 0, respectively. In Department O, the patients we re submitted to sliding screw-plate (SSP) osteosynthesis, while patien ts in Department 0 were treated with two percutaneously introduced scr ews. Our results showed that double-screw osteosynthesis can be perfor med significantly quicker and with less blood loss than application of SSP. Healing of the fractures in the two groups did not differ signif icantly, nor did the cumulative rate of failure or the frequency of se condary surgical procedures. We find that, judged from these parameter s, percutaneously introduced double-screw osteosynthesis is at least a s effective as SSP osteosynthesis.