A prospective comparative study between conservative and operative treatment with dynamic hip screw in the management of intertrochanteric fracture of the femur
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 4
Abstract
Introduction: Trochanteric fracture of femur is extremely common in elderly age group. Nowadays, most of these fractures will be surgically fixed with implants. However, some patients can be treated with conservative treatment but internal fixation with Dynamic hip screw is most acceptable method and has better outcome. The aim of present study is to compare the result of conservative method and operative treatment with dynamic hip screw in management of intertrochanteric fracture of the femur in rural population where modern surgical facilities are unavailable. Material and Method: In our study sixty patients were selected for the study out of which 40 patients were treated with operative method with dynamic hip screw (DHS) and twenty patient were treated with conservative method. The conservative group and the operative group are classified as Group I and Group II respectively. The result were evaluated and graded as excellent, good and poor as per Kyle’s criteria. Result: In the present study in Group I, 20% had union in 8 weeks, 60% in 10 – 12 weeks and 20% in more than 12 weeks. In Group II, 50% had union in 6 weeks, 40% in 6-8 weeks and 10% in more than 8 weeks. In group one 4 (20%) patients has excellent result, 4 (20%) patients had good result and 12 (60%) patients had poor result whereas in Group II 32 (80%) patients had excellent result, 6 (15%) patients had good and 2 (5%) patients had poor result. In Group I, 4 (20%) patients had no complications while 16 (80%) patients had one or more complications whereas in Group II 32 (80%) patients had no complications and 8 (20%) patients had one or more complications. Conclusion: The overall quality of result was better with internal fixation with dynamic hip screw (DHS) as compared to conservative method, avoiding all the problems of prolonged recumbency and tended to leave the hospital sooner. However, conservative treatment will be acceptable where modern surgical facilities are unavailable.
Authors and Affiliations
Rakesh Kumar Verma, Ajay Kumar Verma, Karunakar dwivedi, Vinod Kumar Singh, Vijay Shankar
Keywords
Related Articles
- EP ID EP488245
- DOI 10.22271/ortho.2018.v4.i4l.119
- Views 101
- Downloads 0
Conservative vs. surgical intervention in diaphyseal forearm fractures in age group 1 to 15 years: A prospective study
Pediatric diaphyseal breaks of the radius and ulna, regularly alluded to as both bone lower arm fractures, are the third most basic fractures in the paediatric populace and record for 13-40% of all pediatric fractures.1,...
Magnetic resonance imaging based anthropometric study of knee joint in anterior cruciate ligament insufficient knees
Purpose: The objective of this study was to evaluate multiple morphological features on MR images in patients with ACL insufficient knees. Methods: Magnetic resonance imaging (MRI) of the knee of 40 anterior cruciate lig...
Clinical results of Mitchell’s osteotomy for treatment of hallux valgus. Study from a Tertiary centre in Kashmir
Background: Hallux vulgus means lateral deviation of great toe is in fact a complex deformity of the first ray. The concerns are pain over 1st metatarsophalangeal joint, difficulty in shoe wear and a cosmetically unaccep...
A study on segments of humerus and its clinical importance
Background: The humerus is the both the largest bone in the arm and the only bone in the upper arm. Many powerful muscles that manipulate the upper arm at the shoulder and the forearm at the elbow are anchored to the hum...
A comparative study of closed reduction and fixation with percutaneous k-wires versus open reduction and internal fixation with philos plate for proximal humerus fractures in the elderlyDr. Kumar Anshuman and Gourishankar Patnaik
The aim of this study is to compare and evaluate functional, clinical and radiological outcome achieved by open reduction and internal fixation by Philos plate & percutaneous k-wire fixation of proximal humerus fracture...