A COMPARATIVE STUDY OF TROCHANTERIC STABILIZING PLATE  WITH  DYNAMIC HIP SCREW IN  FRACTURE INTERTROCHANTERIC FEMUR WITH LATERAL WALL  COMMINUTION

Dr Ritesh Singh Yadav

Volume : V, Issue : VI, June - 2016

A COMPARATIVE STUDY OF TROCHANTERIC STABILIZING PLATE WITH DYNAMIC HIP SCREW IN FRACTURE INTERTROCHANTERIC FEMUR WITH LATERAL WALL COMMINUTION

Dr Ritesh Singh Yadav

Abstract :

 Introduction: Our study aimed to compare effectiveness of Trochanteric stabilizing plate and Dynamic hip screw in intertrochanteric fracture femur with lateral wall fracture. Method: This prospective comparative study included 81 patients who had intertrochanteric fracture femur with lateral trochantric wall fracture (Evan’s type III & V) which were treated either with Dynamic hip screw or Trochanter stabilizing plate. Patient was evaluated for screw impaction, limb shortening & functional outcome using modified Harris hip score. Result: In the group treated with DHS patients have more impaction and shortening & only 40% patients have Harris hip score above 60 whereas in TSP group patients have less impaction and shortening and 70% patients have HHS above 60. Conclusion: Addition of TSP with DHS in fracture intertrochanteric femur with lateral trochanteric wall comminution can prevent excessive collapse & limb shortening therefore improving overall functional outcome.