Analysis of outcome of dynamic hip screw fixation for trochanteric fractures of femur
Journal Title: Medpulse International Journal of Orthopedics - Year 2017, Vol 3, Issue 3
Abstract
Problem Statement: The life expectancy of average Indian population has increased in recent day and thus the incidence of osteoporosis and osteoporosis related fracture has also increased. So these days, the trochanteric fractures are more commonly encountered than past. Method: Patient with age 25 years or more with trochanteric fracture of femur were isolated or with other injury were included in this study. After admission, patients were examined and investigated as per following parameters for their fitness for surgery and anaesthesia. DHS Plate are made up of 316 L stain less steel with screw hole as per length of the plate. It has a low profile design reducing risk of trochanteric bursitis. These are available in a wide range of size and barrel angle, with standard or short barrels, for varied clinical situation. Among 30 cases of trochanteric fractures of femur. Duration of study period from Mar 2015 to Feb2016. Results: Range of the age of the patients was 25 – 70 years. Average age was 55 years. Maximum number of patients was seen above the age of 50 years (56.7%). Male : Female ratio was 1:2. Conclusion: Internal fixation is the treatment of choice in all type of trochanteric fracture all over the world. Lack of prompt and adequate medical facilities, illiteracy and poor economic condition of the patients in our country is major problem in the use of internal fixation method as a treatment modality. Other major problem is poor acceptance for operative treatment by the patients and their relatives. Keeping all of the above factors in mind we selected DHS fixation for treatment of trochanteric fracture of femur in patients with good compliance and adequate affordability.
Authors and Affiliations
Kaushlendra Kumar, Suresh Kumar
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