Are Two Screws Enough for Fixation of Femoral Neck Fractures? A Case Series and Review of the Literature

K.C Xarchas*, C.D Staikos, S Pelekas, T Vogiatzaki, K.J Kazakos, D.A Verettas
Orthopaedic Department, Democritus University of Thrace, Alexandroupolis, Greece

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2007 Bentham Science Publishers Ltd.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestrictive use, distribution, and reproduction in any medium, provided the original work is properly cited.

* Address correspondence to this author at the University Hospital of Alexandroupolis, Dragana, Alexandroupolis 68100, Greece; Tel/Fax: 003025510 30369; E-mail:


There is still a controversy in literature regarding the treatment of subcapital fractures of the hip with internal fixation. Different methods have been tested and studies such as in cadavers mainly prejudge the three cannulated screws application. We present a series of 20 patients in which percutaneous fixation with two parallel cannulated screws under specific technical conditions has led to an uneventful fracture union. No complications were observed at a one year follow-up. Reviewing the literature we found no previous clinical studies on the subject.

Keywords: Femoral neck fractures, cannulated screws, fixation.