Epidemiological Aspects and Functional Outcomes of Femoral Neck Fractures Managed with Triple-Screw Fixation in Abidjan: A 10‑Year Retrospective Cross‑Sectional Study Following STROBE Guidelines

Aspects Épidémiologiques et Résultats Fonctionnels des Fractures du Col Fémoral Traitées par Vissage à Abidjan : Une Etude Transversale Rétrospective de 10 Ans Selon les Directives STROBE

Authors

  • Bizolé Balepna DY 1. Department of Orthopaedic and Trauma Surgery, Treichville University Hospital, Abidjan, Côte d’Ivoire ; 2. Félix Houphouët-Boigny University, Abidjan, Côte d’Ivoire ; 3. Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Cameroon
  • Sainy KSD 1. Department of Orthopaedic and Trauma Surgery, Treichville University Hospital, Abidjan, Côte d’Ivoire ; 2. Félix Houphouët-Boigny University, Abidjan, Côte d’Ivoire
  • Yépié A 1. Department of Orthopaedic and Trauma Surgery, Treichville University Hospital, Abidjan, Côte d’Ivoire ; 2. Félix Houphouët-Boigny University, Abidjan, Côte d’Ivoire
  • Traoré M 1. Department of Orthopaedic and Trauma Surgery, Treichville University Hospital, Abidjan, Côte d’Ivoire ; 2. Félix Houphouët-Boigny University, Abidjan, Côte d’Ivoire
  • Kouame KM 1. Department of Orthopaedic and Trauma Surgery, Treichville University Hospital, Abidjan, Côte d’Ivoire ; 2. Félix Houphouët-Boigny University, Abidjan, Côte d’Ivoire
  • Anoumou NM 1. Department of Orthopaedic and Trauma Surgery, Treichville University Hospital, Abidjan, Côte d’Ivoire ; 2. Félix Houphouët-Boigny University, Abidjan, Côte d’Ivoire

DOI:

https://doi.org/10.67260/hra.v4i7.7862

Keywords:

Femoral neck fractures, Functional outcomes, Treichville, Triple-screw fixation

Abstract

Introduction. Femoral neck fractures are a significant public health concern, carrying life‑threatening risks in the elderly and the potential for impaired hip function in younger patients. Surgical management is the mainstay of treatment, with early weight‑bearing as a primary goal. This study aimed to evaluate the functional outcomes of patients after femoral neck screw fixation. Methods. We conducted a retrospective cross‑sectional observational study following STROBE guidelines, including patients operated on between January 2015 and December 2024. We assessed fractures using the Garden classification and functional outcomes using the Postel‑Merle d'Aubigné (PMA) score. We performed statistical analysis using Epi Info 7.2.2.6. Results. Twenty‑three patients were included. Femoral neck fractures occurred mainly in young adult males (n=14; sex ratio 1.5) following road traffic accidents. At a median follow‑up of 40 months (range 12‑84), functional outcomes were excellent or good in 75% of stable fractures (Garden I‑II), and fair or poor in 73.3% of unstable fractures (Garden III‑IV). Outcomes were significantly better in stable fractures (p=0.03). Complications were observed only after unstable fractures (p=0.04), including avascular necrosis of the femoral head (n=4) and non‑union of the femoral neck (n=2). Conclusion. Triple screw fixation provides better functional outcomes in stable femoral neck fractures. It remains a viable option for unstable fractures in resource‑limited settings while awaiting potential arthroplasty.

References

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Published

07/01/2026

How to Cite

Bizolé Balepna DY, Sainy KSD, Yépié A, Traoré M, Kouame KM, & Anoumou NM. (2026). Epidemiological Aspects and Functional Outcomes of Femoral Neck Fractures Managed with Triple-Screw Fixation in Abidjan: A 10‑Year Retrospective Cross‑Sectional Study Following STROBE Guidelines: Aspects Épidémiologiques et Résultats Fonctionnels des Fractures du Col Fémoral Traitées par Vissage à Abidjan : Une Etude Transversale Rétrospective de 10 Ans Selon les Directives STROBE. HEALTH RESEARCH IN AFRICA, 4(7), 123–126. https://doi.org/10.67260/hra.v4i7.7862

Issue

Vol. 4 No. 7 (2026): Health Research in Africa

Section

Medicine and Surgery in the Tropics

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Copyright (c) 2026 Bizolé Balepna DY, Sainy KSD, Yépié A, Traoré M, Kouame KM, Anoumou NM

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