The Management of the Displaced Fracture Neck Femur by Dynamic Compression Hip Screw with Derotation Screw
Journal Title: TRAUMA INTERNATIONAL - Year 2018, Vol 0, Issue 0
Abstract
Introduction: The aim of the present study was to evaluate the outcomes of displaced intracapsuar fracture neck femur managed by dynamic hip screw (DHS) with derotation screw treated within ten days of injury in patients younger than 60 years. Materials and methods: This was a prospective study, carried out between December 2010 to December 2016. A total of 42 patients younger than 60 yrs of age with displaced intracapsular fracture neck femur (Garden III and IV, Pauwels III, with the comminution) presenting to the hospital within 2-10 days were included in the study. Data analysis and statistical analysis was done by using SPSS using appropriate tests. Results: There were 27 males and 15 females, age ranging from 21 to 60 years (mean42.4±10.2 years). There were twenty seven Garden III while fifteen fractures were Garden IV. In forty fractures (95.2 %) average time to union was 3.7 months [3-5 months]. Radiographic evidence of avascular necrosis was seen in four cases(9.5%) and two patients(4.7%) developed non-union of the fracture .There were no cut-outs and breakage of implant .Two patients developed isolated coxa vara ( 120-124°) with backing of screws. Mean shortening of the injured limb was 2 -4 mm in twenty four patients without any functional impairment. Functional results were evaluated by Harris Hip Score. Excellent results were achieved in thirty four (81%), good/fair in six (14.2%) and poor in two (4.8%)patients. Conclusion: Dynamic Hip Screw (DHS) with derotation screw is a good implant for the fixation of the displaced fracture neck femur with excellent to good radiological and functional outcome.
Authors and Affiliations
Wasudeo mahadeo Gadegone, Bhaskaran Shivashankar, Rajendra Chandak, Piyush Gadegone
Keywords
Related Articles
- EP ID EP566888
- DOI -
- Views 132
- Downloads 0
Evidence vs Experience in Trauma Surgery
As a part of Traumacon, over a decade, we have closely observed the changing paradigm of Trauma practice and perception and importance of means of trauma education and learning. A recent Editorial in Journal of Orthopaed...
Decision Making in Acetabulum Fractures – When to Operate and When Not to?
he complexity of acetabulum fractures has always been challenging to the operating surgeon. In the past 50 years, following pioneering work by LeTournel and Judet, there is better clarity to the treating surgeon regardin...
Cannulated Schanz Pin: A Novel Concept for Intraosseous Antibiotic Delivery
Infection control and prevention is the first step in any orthopaedic procedure because its treatment can be challenging and complicated. Complex bony architecture, precarious blood supply and presence of biofilm make er...
Symposium on Pelviacetabular Fractures Part II
Dear Friends, Orthopaedics was a nascent branch some 60 years back, when it was born out of Surgery. There were few dynamic personalities working as orthopaedician under General Surgeons and they had to fight for their e...
Rashless and Bilateral Symmetrical Lower Limb Gangrene in a Patient with Meningococcal Meningitis
Introduction: An atypical presentation of meningococcal meningitis in a 10-year-old boy with rashless and bilateral symmetrical lower limb gangrene reported to stress the unusual pattern of the presentation. Unusual pres...