Functional outcome assessment of trochanteric fractures with a new scoring system
Journal Title: National Journal of Clinical Orthopaedics - Year 2017, Vol 1, Issue 3
Abstract
Introduction: Trochanteric fractures are extra capsular fractures resulting commonly among elderly patients due to trivial fall. The complications of the surgeries result in severe life threatening conditions, consequently leading to increased disability, mortality and decreased quality of life. This study was done to assess the surgical outcomes of trochanteric fractures using a composite scoring system. Methodology: This cross sectional study was carried out among 40 patients with trochanteric fractures who were treated surgically using Dynamic Hip Screw (DHS) or Dynamic Condylar Screw (DCS). A comprehensive scoring system was developed considering clinical, radiological and functional outcomes assessment. Results: In 40 cases of trochanteric fractures type I and type II were 33 cases constituting an incidence of 82.5% and type III and type IV constituting an incidence of 17.5%. About 36 cases (90%) were operated by dynamic hip screw and plate (DHS) and in 4 cases (10%) dynamic condylar screws and plating (DCS) were deployed. About four participants developed post operative complications. Excellent to good outcomes were obtained in 29 cases (72.5%), fair results in 8 cases (20%) and poor results in 3 cases (7.5%). Conclusion: Management of trochanteric fractures by DHS technique produces better functional outcomes and also improves the quality of life to pre fracture states, especially among older patients.
Authors and Affiliations
Vijay Natarajan, Karthik Jayachandran, Sarath Chander
Keywords
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