Fixation of Intertrochanteric Femoral Fractures by Dynamic Hip Screw

Abstract

Objective: Aim of the study was to evaluate the results of DHS fixation union rate, complications and functional outcome.

Study Design: Experimental / clinical trial study

Place and Duration of Study: This study was carried out at Bolan Medical Complex Hospital Quetta from January 2014 to December 2015.

Materials and Methods: 45 patients were surgically treated with use of dynamic hip screw (DHS) to stabilize the intertrochanteric fractures. Out of total 45 patients 35 (74%) were males and 10(14%) females. Age ranged between 25 -71 years average 63.9 years. Most common mode of injury was mixed in 28 patients. All the cases were classified according to Jensen’s classification. All the cases were performed under image use of 135’ angle plate with hip screw.

Results: Out of 45 patients 03 patients died, two in the hospital and I at home. It was observed that patients from rural areas arrived late (19.8 days) after their injuries and these from urban areas reached within two days and thus affected the reduction and operation time. Time lapse between the injury and operation was 11.7 days. Overall union time was 20.02 weeks. No nonunion was seen. Complications were seen in 12 patients.

Conclusion: Excellent to good results were achieved in 96% of cases which concludes that DHS is bio-mechanically stronger and better implant for fixation of intertrochanteric fractures.