Dynamic HIP screw vs proximal trochanteric contoured plate in proximal end fractures of femur
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2016, Vol 2, Issue 3
Abstract
Purpose: To compare the outcome in patients who underwent surgery for proximal end femur fracture, intertrochanteric and Subtrochanteric, using dynamic hip screw vs proximal femoral locking plate. Methods: 11 men and 19 women aged 19 to 82 (mean, 42) years were randomised to the proximal femoral locking plate group, whereas 16 men and 14 women aged 20 to 90 (mean, 47) years were randomised to the conventional 135º DHS group. Duration of surgery, total amount of blood loss, duration of hospital stay, mobilisation and weight bearing, radiological assessment, complications and Harris hip score were assessed at the end of 6 months. Results: Respectively in the locking plate and DHS groups, the mean duration of surgery were 72.18 mins and 54.25 mins,(p=<0.001), mean blood loss was 283.75ml and 158.67 ml(p=<0.001), mean hospital stay was 13.75 days and 11.25 days, mean time for radiological union was 16.8 and 16.5 weeks, average harris hip score was 84.6 and 86.2. varus collapse and screw cut-out occurred in 1 case each in DHS, abductor lurch occurred in 4 cases of PFLP. Conclusion: DHS is the best implant for stable IT fractures but PFLP can also be a good alternative for unstable IT fracture, though it has longer operative time and more blood loss.
Authors and Affiliations
Kanwarjit Singh Sandhu, Girish Sahni, Avinash Chander Gupta, Vikas V Patel
Keywords
Related Articles
- EP ID EP242460
- DOI -
- Views 105
- Downloads 1
Role of hip abduction brace in preventing impending failure in PFN
Introduction The hip abduction brace is an orthotic device made after taking individual measurements and works on the principle by assisting or resisting the movements of joint and bypass the load on Implant and hip join...
Titanium elastic nails system (TENS) fixation in midshaft clavicular fractures – A prospective study
Introduction The clavicle is most frequently and easily fractured bone due to direct blow or fall on the outstretched hand With changing trends in treatment of midshaft clavicle fractures plating was one of the standard...
A Randomised control study on effects of autologous platelet rich plasma injection in early osteoarthritis knee by single dose versus double dose regimen
Materials and Methods A total of 263 knees 150 patients males 65 females 85 with early OA were divided randomly into two groups Group A 75 patients 134 knees received a single injection of PRP group B 75 patients 129 kne...
A rare case of osteochondroma of Patella- Case Report
Tumors involving the patella are very rare. Only a few studies have been reported. The commonest benign tumor involving the patella is giant cell tumor. We in our study report a case of osteochondroma involving the patel...
Reliability of optoelectronics motion capture analysis in hip range of motion
Purpose: The purpose of this study was to determine the reliability of optoelectronic motion capture analysis to determine the hip range of motion. Materials and Methods: Fifteen recreationally active male participants (...