Management of femoral neck fractures in young adults with 2-screw PFN: A one year follow-up study on functional outcomes and complication. Could it be an alternative to CCS , DHS and FNS?

Background: Femoral neck fractures in young adults present distinct challenges, necessitating fixationtechniques that preserve hip integrity while facilitating early mobilization. The 2-Screw Proximal Femoral Nail (PFN) offers an intramedullary alternative to conventional such as Cannulated Compression Screws (CCS).Objective: To assess the long-term functional outcomes and complication rates associated with 2- Screw PFN fixation in young adults suffering from femoral neck fractures.Materials and Methods: A retrospective analysis was conducted on 20 patients aged 20-55 years with Garden stages 1-4 fractures treated with the 2-Screw PFN.Results: The investigation revealed an impressive union rate 100%, accompanied by negligible occurrences of avascular necrosis (approximately 0%) and non-union. Patients demonstrated significant enhancements in hip function scores at the 1 -year follow-up, with the majority returning to their pre-injury activity levels.Conclusion: The 2-Screw PFN exhibited encouraging long-term outcomes in young adults, providing enhanced stability, a diminished risk of complications in comparison to CCS, and promoting an expedited return to functional activities.