Abstract: Objective To investigate the efficacy of cannulated screw combining limited incision for the treatment of Garden Ⅲ, Ⅳ type femoral neck fractures in younger adults. Methods From September 2009 to July 2011, 26 cases of femoral neck fractures were treated using cannulated screw combining limited incision. The clinical efficacy was evaluated according to Harris score. Results All the patients were followed up for 6 months to 3 years (mean 1.6 years). The incisions were healed by first intension and the fractures were healed in 7 months on average. According to Harris score, 13 cases were evaluated as excellent, 8 cases as good, 4 cases as fair and 1 case as poor, the choice rate was 81%. Conclusion Cannulated screw combining limited incision is effective for the treatment of Garden III, IV type femoral neck fractures in younger adults.

Key words: Femoral neck fracture, Internal fixation, Cannulated screw, Limited incision