Functional outcome of cannulated cancellous screw fixation of femoral neck fracture in elderly patients: A prospective study

Background: Femoral neck fractures in the elderly are associated with significant morbidity, loss of independence, and increased mortality. Multiple cannulated cancellous screw fixation is a bone-preserving surgical option, yet data on functional outcomes and complications in elderly patients remain limited, particularly in developing countries. Aim of the study: To evaluate the functional and radiological outcomes of cannulated cancellous screw fixation in elderly patients with femoral neck fractures. Methods: This prospective observational study included 20 elderly patients (aged 50-70 years) with fresh femoral neck fractures treated with multiple cannulated cancellous screws. Fractures were classified using Garden’s and Pauwel’s systems, and bone quality was assessed via Singh’s index. Functional outcomes were measured using the Harris Hip Score, and radiographs were analyzed for fracture union, implant stability, and complications over a mean follow-up period of [one year]. All collected data were entered into Microsoft Excel and analyzed using GraphPad Prism software. Result: Fracture union was achieved in 90% of patients. Functional assessment revealed excellent outcomes in 45%, good in 25%, fair in 20%, and poor in 10% of patients. Postoperative complications were observed in 50% of patients, predominantly minor and manageable. Low-energy trauma was the most common mechanism of injury (80%). Conclusion: Cannulated cancellous screw fixation provides satisfactory functional recovery and high union rates in elderly patients with femoral neck fractures. Timely intervention and careful patient selection are crucial to optimize outcomes while preserving native hip anatomy.