A study of dynamic HIP screw versus proximal trochanteric contoured plate in proximal end fractures of femur
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 5
Abstract
Background: Intertrochanteric fractures are common injuries occurring predominantly as low-energy injuries in the elderly, mostly due to direct injury to hip (e.g. fall). Aims and Objectives: To Study Dynamic HIP screw versus Proximal trochanteric contoured Plate in proximal end fractures of femur. Materials and Methodology: This study carried out at the Orthopedic department of a tertiary health care center during two-year duration January 2015 to January 2017 in the patients who were diagnosed as Proximal trochanteric contoured proximal end fractures of femur were assed for the Operative procedure were informed about two different modes of operation i.e. Dynamic HIP screw versus Proximal trochanteric contoured Plate and their 40 patients were enrolled in each group with their written consent. Harris score used for assessment and statistical analyses done by un-paired t -test. Result: The majority of the Patients were in the age group of 60-80 i.e. 36.25 % followed by 50-60 i.e. 27.5 % ; 40-50 were 15.00% ; in 30-40 age group were 8.75 % and in age > 80 were 7.5%. The majority of the patients were Females i.e. 58.75% and 41.25% were Males Overall Harris score significantly higher in DHS group as compared to PFLP i.e. 89.4 ± 2.1 and 83.5 ± 3.2 (p<0.001,t=4.96,df=18) for IT fractures the score was 84.4 ± 3.4 and 78.9 ± 3.9 ( p<0.0019,t=3.5,df=21 ); Stable IT 93.7± 2.9 and 76.5 ± 1.2 (p<0.0001,t=15.5,df=14); Unstable IT 79.2± 1.7 and 80.3± 1.89 which is not significant (p<0.29,t=1.094,df=11) ; for ST 85.4 ± 1.5 and 89.5 ± 2.45 ( p<0.001,t=4.96,df=18) respectively. Conclusion: Except Unstable IT fracture DHS was found to be superior over PFLP with respect to Harris score.
Authors and Affiliations
Mahesh L Mutha
Keywords
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