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Category: Volume 07 Issue 05 May 2019
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Title: Retrospective Study of Dynamic Hip Screw Fixation in Intertrochanteric Fractures – Outcomes

Authors: Jaspal Singh, Partap Singh Verka, Tapish Shukla, Himanshu Agrahari, Mohit Singla, Saurabh Jain

 DOI: https://dx.doi.org/10.18535/jmscr/v7i5.159

Abstract

Background: Hip fracture contributes to both morbidity and mortality in the elderly.

The dynamic hip screw (DHS), commonly used in extramedullary fixation, has become a standard implant in treatment of these fractures. We conducted this study to investigate the efficacy of DHS fixation in treatment of intertrochanteric fractures.

Materials & Methods: The plan was to study 50 cases of inter-trochanteric femur fractures of all types in Boyd and Griffin classification treated with Dynamic Hip Screw and to assess the outcome and the post-operative complications of it. Brief history and clinical examination was done according to the proforma attached. Radiological examination was done. Postoperative assessment was done. All the results were analyzed by SPSS software.

Results: In the DHS group, skin puckering with superficial infection was seen in 1 (2%) patient. Cut-out was seen in 2 patients. Shortening was seen in 1 (2%) patients. Mean TAD in the present study was found to be 23.98. Mean HHS at preoperative, 1 month postoperative, 2 month postoperative, 3 month postoperative and 6 month postoperative was 49.78, 60.96, 68.44, 74.28 and 82.12 respectively. Significant results were obtained while comparing the mean HHS among the patients of the DHS group at different time intervals. Conclusion: DHS still remains the gold standard for the treatment of stable intertrochanteric fractures in suitable patients. Therefore, we conclude that dynamic hip screw is a reliable, versatile and effective device for the treatment of intertrochanteric fractures

Keywords: Dynamic hip screw, Hip fracture.

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Corresponding Author

Dr Partap Singh Verka

Professor and Head, Department of Orthopaedics, Govt. Medical College, Amritsar, India