Outcome of DCS (Dynamic Condylar Screw) in failed proximal femur nails in intertrochanteric fractures: A retrospective study
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 4
Abstract
Introduction Intertrochanteric Femur fractures comprise approximately more than half of hip fractures caused by low energy mechanism seen more commonly in geriatric people womenosteoporosisa history of fall and gait abnormality There are surgical managments available for this kind of fractures but still there are some failures Above mentioned factors are responsible for failures For that revision surgery is required Here we are going to search outcomes of DCS in failed PFN in IT fracturesMaterials and Methods A retrospective study of 10 patients treated with dynamic condylar screw DCS for implant failure after doing PFN in Intertrochanteric fracture were stastastically reviewed from march 2017 to march 2018Observation and Results Out of 10 cases 4 were young 60years 4 out of 4 young patients and 3 out of 6 elder patients were united properly Nonunion was seen in 1 patient Delayed union was seen in 1 patient and Implant failure was seen in 1 cases 10 Restricted weight bearing status postoperatively was associated with significantly lower incidence of implant failureUsing the DCS the results were good in the young patients with highenergy injuries However the implant failure rate is high in elderly patients who suffer lowenergy fractures The DCS should not be used if weight bearing cannot be minimized in this groupConclusion The dynamic condylar screw is a safe and reliable implant for the management of Periimplant Subtrochanteric fractures in previously operated with PFN with predictable results when principles of open reduction and internal fixation is followed as compare to other methods of fixation in developing countryKeywords Proximal femur nail Dynamic condylar screw Intertrochentric fracture Revision surgery
Authors and Affiliations
Abhishek Gol, Keyur Shah, Dhimant Patel, Hriday Acharya, Ranjan Patariya
Keywords
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- EP ID EP476684
- DOI 10.18231/2395-1362.2018.0061
- Views 111
- Downloads 0
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