title: Comparative study of fresh femoral neck fractures managed by multiple cancellous screws with and without fibular graft in young adults.
abstract: OBJECTIVE
  Aim of our study was to assess the role of addition of fibular strut graft to multiple cancellous screws in functional outcome, union and complications associated with those managed by only multiple cancellous screws in fresh femoral neck fractures.
  
  
  METHODS
  A randomized control trial study was conducted on the patients of femoral neck fractures managed with multiple cancellous screws (group A) and multiple cancellous screws with fibular graft (group B). Patients aged between 20 and 50 years, having Gardens type III or IV fracture with duration of injury less than two weeks were included in the study.
  
  
  RESULTS
  Eighty seven cases were analysed n = 45 were in group A and n = 42 in group B. Functional outcome (Harris hip score) was excellent in 30 patients in group A as compared to 12 in Group B which was statistically significant favouring group A. The time of full weight bearing, union and non union rates showed no statistical significance (p > 0.05). On statistical grounds none of the procedures proved to be better than other.
  
  
  CONCLUSIONS
  Fresh femoral neck fracture in young adults managed with multiple cancellous screws fixation with fibular graft has no added advantage over multiple cancellous screws fixation alone.
authors.affiliation: Assistant Professor Orthopaedics, G.S.V.M. Medical College, Kanpur, Uttar Pradesh 208002, India.
authors.forename: Snajay
authors.initials: S
authors.lastname: Kumar
authors.affiliation: Associate Professor Orthopaedics, G.S.V.M. Medical College, Kanpur, Uttar Pradesh 208002, India.
authors.forename: Ajay
authors.initials: A
authors.lastname: Bharti
authors.affiliation: Senior Resident, G.S.V.M. Medical College, Kanpur, Uttar Pradesh 208002, India.
authors.forename: Ashok
authors.initials: A
authors.lastname: Rawat
authors.affiliation: Assistant Professor Orthopaedics, G.S.V.M. Medical College, Kanpur, Uttar Pradesh 208002, India.
authors.forename: Vineet
authors.initials: V
authors.lastname: Kumar
authors.affiliation: Assistant Professor Orthopaedics, G.S.V.M. Medical College, Kanpur, Uttar Pradesh 208002, India.
authors.forename: Sachin
authors.initials: S
authors.lastname: Avasthi
keywords: Fibular strut graft; Fresh fracture neck of femur; Multiple cancellous screws