ACTA FAC MED NAISS 2019;36(2):131-140

Original article

UDC: 616.718.4-001.5-08

DOI: 10.5937/afmnai1902131A

Operative Treatment of Femoral Neck Fractures with Cannulated Screws with and without Platelet Rich Plasma in Young Adults: A Comparative Study

Mohammed Sh. Al- Edanni¹, Raed-A. Al Yaseen², Ghadeer H. Majeed¹, Sadik A. Al-Muktar¹

¹Al- KindyCollege of Medicine, University of Baghdad, Baghdad, Iraq
²Al-Kindy Teaching Hospital, Ministry of Health, Iraq

summary


Many studies have evaluated the effect of platelet rich plasma (PRP) in the treatment of non-union fractures but few studies have investigated their effect on the union of femoral neck fractures or their functional outcome in young adults. The aim of this study was to evaluate the union time and functional outcome in young adult patients with femoral neck fracture managed by three cannulated screws injected with PRP and those managed by fixation only. This prospective study included 24 patients diagnosed with femoral neck fractures within 24 hours of presentation. Twelve cases in group A were managed by closed reduction and three cannulated screws fixation injected with PRP; twelve patients in group B were managed only by closed reduction and three cannulated screws fixation. Results revealed a significant difference between the two groups (p = 0.004) with regard to mean union time, (group A - 3.9 months, group B - 4.8 months). No statistically significant differences were found in functional outcomes between groups, as measured by the Harris Hip Score and Visual Analogue Scale.

Key words: PRP, the femoral neck fracture, cannulated screws