Dimon and Hughston Osteotomy with D.H.S Fixation in the Management of Unstable Trochanteric Fractures of Hip
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 1
Abstract
Objective: To evaluate the performance of Dimon-Hughston osteotomy using a dynamic hip screw fixation implant in unstable trochanteric fractures of hip among geriatric patients. Materials and Methods: This study focused on 25 patients who presented to the Department of Orthopaedics ,Government General Hospital,Kurnool Medical College, Kurool. .Type AO 2.2 and Type AO 2.3 fractures were selected based on the AO classification. These fractures were managed by DimonHughston osteotomy with a 140s° dynamic hip screw. Results: All 25 patients (mean age 71.2years) were able to perform full weight-bearing walking after the operation. The mean time needed to achieve union was 16 weeks .One patient experienced hip screw cutout and 1 patient developed superficial wound infection. All the patients came to follow up every 3 weeks after the operation. Conclusion: For the geriatric patients in this study, Dimon-Hughston osteotomy for unstable pertrochanteric fractures provided immediate stability for early weight-bearing.
Authors and Affiliations
Dr. K. Venkateswarlu
Keywords
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