Dynamic Hip Screw and Proximal Femoral Locking Compression Plate as a Surgical Treatment of Trochanteric Fracture of Femur a Comparative Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 1
Abstract
Trochanteric fracture femur is one of the commonest fracture orthopaedicpractice. Dynamic hip scre w (DHS) is the gold standard procedure for treatment for stable intertrochanteric fractures, however problem a rises with unstable fractures in maintenance of neck shaft angle. Here we arecomparing results oftrochanteric fr actures treated with proximal femoral locking compression plate (PFLCP) as comparedwith dynamic hip screw (DHS). Methods: This study was a prospective study. Two groups of trochanteric fractures of 15 patients operated with DHS and 15 with PFLCP were taken. Each patient was followed-up from April 2014 to April 2015 for minimum of 12 month. Every fracture was classified according to EVAN classification. Results: Among 15 patient treated with PFLCP, length discrepancy was 0.8 cm while that for DHS was 1 cm. T he mean time of unaided walking with PFLCP was 18weeks while for DHS it was 17 weeks. one case was found with superficial infection in DHS. Conclusions: Proximal femoral locking plate (PFLCP) is simple, stable for fixation with fewer complications, a nd is an effective method for unstable trochanteric fractures. Keywords: Trochanteric Fracture, Dynamic Hip Screw(DHS),Proximal Femur Locking Compression Plate(PFLCP)
Authors and Affiliations
Ashok kumar Meena, L. B. Manjhi, Shashi Kant Suman
Keywords
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