A Study of Management of TrochantericFractures with Sliding Compression Hip Screw
Creators
- 1. Senior Resident, Department of Orthopaedics, PMCH, Patna
- 2. Assistant Professor, Department of Orthopaedics, PMCH, Patna
- 3. Associate Professor, Department of Orthopaedics, PMCH, Patna
Description
Background and Objectives: Many patients come to Department of orthopaedics with trochanteric fracture. It is one of the commonest injuries occurring in elderly age group. Though fracture unites with conservative treatment but associated with high mortality and morbidity. So fractures stabilization with sliding compression hip screw (DHS) is a useful option to prevent morbidity and mortality. Methods: A total of 20 patients with trochanteric fractures underwent surgery for the fracture fixation with DHS in the Department of Orthopaedics, PMCH Patna. Study duration of Twenty months. Patients were selected irrespective of sex. Results: Excellent results were obtained in 65% of cases, good results in 15%, fair in 10%, poor in 10%. Complications include 15% shortening, 5% implant failure, 10% infection, 5% coax vara. Conclusion: DHS is the reliable, versatile and effective treatment for the treatment of all types of intertrochanteric fractures. It minimizes the hospital stay and reduces the economic burden and enhances early return to work.
Abstract (English)
Background and Objectives: Many patients come to Department of orthopaedics with trochanteric fracture. It is one of the commonest injuries occurring in elderly age group. Though fracture unites with conservative treatment but associated with high mortality and morbidity. So fractures stabilization with sliding compression hip screw (DHS) is a useful option to prevent morbidity and mortality. Methods: A total of 20 patients with trochanteric fractures underwent surgery for the fracture fixation with DHS in the Department of Orthopaedics, PMCH Patna. Study duration of Twenty months. Patients were selected irrespective of sex. Results: Excellent results were obtained in 65% of cases, good results in 15%, fair in 10%, poor in 10%. Complications include 15% shortening, 5% implant failure, 10% infection, 5% coax vara. Conclusion: DHS is the reliable, versatile and effective treatment for the treatment of all types of intertrochanteric fractures. It minimizes the hospital stay and reduces the economic burden and enhances early return to work.
Files
IJPCR,Vol15,Issue7,Article260.pdf
Files
(1.1 MB)
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Additional details
Dates
- Accepted
-
2023-07-28
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue7,Article260.pdf
- Development Status
- Active
References
- 1. Keneeth J. Koval, Joseph D. Zeckerman. Intetertrochanteric fractures. Rockwook and Green's fracture in adults. 2001; 15th edn; 2: 1635. 2. Ecker, & Malcolm L. The treatment of trochanteric Hip fracture using a compression screw" Journal of Bone and Joint Surgery. 1975; 57A: 23. 3. Jacobs R.R. Treatment of intertrochantric hip fractures with a compression hip screw and a nail plate. J. Trauma, 1976; 16: 599. 4. Jensen. Stable trochanteric fractures a comparative analysis of the four methods of internal fixation. Acta orthop scandal. 1980; 51: 811- 816. 5. Sethi T.S. et. al. DHS in trochanteric fracture. Indian journal of orthopaedics. 1993: 2(27): 161-165. 6. Juluru. P. Rao. A comparative analysis of ender's rod and compression screw and side plate fixation of intertrochanteric fractures of the hip. clinical orthop. 1998: 256: 127. 7. Sunne Larsson, M.D. Trochantric fractures influence of reduction and implant position on impaction and complications". Clinical Ortho 1988; 259-130-139. 8. Davis, J.L. Sher. Intertrochantric femoral fractures mechanical failure after internal fixation" Journal of Bone and Joint Surgery. 1990; 12B: 26-31. 9. Luis A. Floris. The stability of intertrochantric fractures treated with a sliding screw- plate. Journal of Bone and Joint Surgery. 1990; 72 B, 37-40. 10. Wu-CC-Shih-CH. Biomechanical analysis of the DHS in the treatment of intertrochantric fractures. Arch-orthop-Trauma-Surg. 1991; (6): 307 – 10. 11. Boyd HB, Griffin LL. Classification and treatment of trochanteric fractures. Arch. Surg. 1949; 58: 853-866. 12. Evans E. The treatment of trochanteric fracture of the femur. J Bone joint Surg. 1949; 31 B: 190 – 203. 13. Muller ME, Allogner M. Schneider r, willengger H. Manual of internal fixation: techniques recommended by the AO. ASIF group, Edn. 3, Berlin, 1991, Springer – Verlay. 14. Hayes WC, Biomechanics of falls and hip fracture in the elderslu. In Apple DF, Hayes WC, eds. Prevention of falls and hip fractures in the elderly. Rosemont, Illinois. American Academy of Orthopaedic Surgeons; 1994; 41-65.