Internal Fixation of Nondisplaced Intracapsular Hip Fractures in Older Patients

For the treatment of, nondisplaced intracapsular hip fractures, the choice of the implant type might be relevant to the postoperative response. A comparison was, therefore, initiated between the use of the cannulated screws and that of the Targon femoral neck nail. A retrospective survey included 110 patients who were subjected to an internal fixation surgery for nondisplaced intracapsular hip fracture and were 50 years old or older. This study was based on the computerized databases of the Orthopedic Outpatient Clinic. In 73 (66%) of the patients, internal fixation utilized cannulated screws, and, in 37 (34%), the Targon femoral neck nail was used. The rate of revision surgery during the 5-year follow-up was similar for the 2 subsets (16.4% vs. 10.8%, P=0.429). Secondary outcomes such as avascular necrosis, nonunion, infection, and mechanical sequels did not differ significantly in the 2 groups. The 2 types of internal fixation did not differ significantly in their outcome when used for nondisplaced intracapsular hip fractures. No variance was shown in the propensity to undergo a revision surgery, following the 2 implant types with this indication. Moreover, the other complications explored did not differ either.