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Category: Volume 08 Issue 06 June 2020
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Title: Treatment of Pertrochanteric Fracture Femur by Locking Compression Dynamic Hip Screw Plate

Authors: Alaa El Banna, Aly Salama, Ahmed Ashour, Walid El Nawawy, Mohamed Aly, Ahmed M. Bassiony Ismail, Bishoy Bessada, Amr Eltorky, Ramy Shehata, Mohamed S. A. A. Hamed

 DOI: https://dx.doi.org/10.18535/jmscr/v8i6.103

Abstract

Background: Hip fractures in the elderly are common. Intertrochanteric fractures account for nearly 50% of all fractures of the proximal femur. From 50 to 60% are classified as unstable. Almost 9 of 10 hip fractures occur in patients older than 65 years and almost 3 of 4 fractures occur in women. It is estimated that one third of all women (and one sixth of all men) reaching the age of 90 years will have sustained at least one hip fracture.

Aim of the Study: The aim of this study is to assess the results of treatment of pertrochanteric fractures by dynamic hip screw locking compression plate.

Patients: This prospective study included 40 patients with trochanteric fractures at El-Hadra University Hospital from September 2015 to December 2016.All cases were fixed by dynamic hip screw locking compression plate.

Subjects and Methods: Evaluation of the clinical and radiological results using Foster Rating System created for the assessment of treatment results in traumatic fractures of the trochanteric region of the femur after a period of 6 months.

Results: At the end of the follow-up period, , twenty three patients had excellent results (57.5%), nine patients had good results (22.5%), five patients had fair results (12.5%) and three patients had poor results (7.5%) according to Foster functional grading. 

According to Foster anatomical grading, Twenty three patients had excellent results (57.5%), eleven patients had good results (27.5%), four patients had fair results (10%) and two patients had poor results(5%). 

Conclusion: A locking compression DHS provides a biomechanically stable construct, with minimal incidence of implant-related failures in treatment of pertrochanteric fractures.

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Corresponding Author

Alaa El Banna, Aly Salama

Department of Orthopedic surgery and Traumatology, Faculty of Medicine, University of Alexandria