A Retrospective Cohort Study of 23 Cases of Inter Trochanteric Femur Fracture in Elderly Patients Treated with Dynamic Hip Screw (DHS) without Image Intensifier
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2020, Vol 32, Issue 01
Abstract
Objective: To determine the clinical and radiological outcome of the inter trochanteric femur fractures in elderly patients fixed with Dynamic Hip Screw( DHS) without image intensifier. Methods: This retrospective cohort study was conducted in Department of Orthopaedics Bolan Medical Complex hospital Quetta from 25th November 2017 to 23rd November 2019.The medical records of inter trochanteric fractures fulfilling the inclusion criteria who were operated for DHS without image intensifier were analyzed retrospectively. The screw placement technique, post operative position of lag screw in radiographs, union and complications were noted in each case. Results: The records of 23 patients with mean age 75 ±7 years(range 58 to 90 years) were analyzed. Male patients were 15(65.2%) and female 8(34.7%). The position of lag screw was central position in 14(60.8%) patients and posterior inferior in 4(17.3%) patients while in 5(21.7%) patients the screw was in anterio superior position. Fracture union was noted in 22(95.6%) patients and implant failure in 1(4.3%) patient. Conclusion: DHS under image intensifier should be the gold standard treatment of intertrochanteric fractures. However, acceptable radiographic position of DHS lag screw in femoral head and neck and ultimate union can be achieved in selected inter trochanteric fractures fixed without image intensifier. However experience of the operating surgeon and accurate preoperative templating and per operative lag screw placement techniques are mandatory.
Authors and Affiliations
Aman ullah KhanKakar1, Hameedullah Panizai2, Iftikhar Ul Haq3,Mohammad Ramazan Khan4
Keywords
Related Articles
- EP ID EP741567
- DOI -
- Views 40
- Downloads 0
Functional outcome of intertrochanteric fractures treated with Proximal Femoral Nail Antirotation (PFNA).
Objective: To determine the functional outcome of intertrochanteric fractures treated with Proximal Femoral Nail Antirotation (PFNA). Methods: This descriptive study was conducted in Unit I, Department of Orthopedic S...
Pediatric Trauma Audit and Outcome of Limb Fractures in Children
To audit the pediatric trauma and evaluate the outcome of fracture management and formulate preventive measures to decrease trauma in children. Material and method: This study was conducted from July 2012 to June 2013...
Out Come of Knee Arthrodesis with Ilizarov Method
Objectives: To determine the functional and radiological outcome of arthrodesis of the knee using the Ilizarov method. Methods: This descriptive study was conducted in Bolan Medical Complex Hospital Quetta and Nationa...
Outcome of Open Reduction and Internal Fixation of Gartland III Supracondylar Fractures of The Humerus in Children Using Crossed K Wires Via Medial Incision
Objective: To assess the Radiological & Functional outcome of open reduction and internal fixation with crossed K Wires in Gartland III displaced Fractures Supracondylar humerus in children using medial approach. Meth...
Relationship of Preoperative Surgical Delay to Mortality in patients with Hip Fractures. A Retrospective Study
Objective: The objective of my study is to develop Relationship of Preoperative Surgical Delay to Mortality in Patients with Hip Fractures at 1year. Study design: Retrospective observational study Place and Duratio...