Volume : V, Issue : V, May - 2016

UNSTABLE INTERTROCHANTERIC FRACTURE FUMUR TREATED BY DYNAMIC HIP SCREW IN VALGUS FIXATION

Dr. Gaurav Vala

Abstract :

 Background: unstable inter–trochanteric (IT) femur fractures are always difficult to treat. Dynamic hip screw (DHS) is one of the preferred method for stable fractures. Our aim is to study outcome of unstable IT fractures treated by DHS fixed in valgus. Method : retrospective study of 22 patients having unstable IT femur fractures with postero medial comminution, boyd and griffin type 2 & 3, treated with 4 hole DHS plate fixed in 140 degree valgus. All patients were hospitalized for around 4–5 days, stitches removed at 10th day. Partial weight beå allowed at 3 weeks and full weight beå allowed at 6 weeks post operatively. Results: The average follow up was 8 months. The average age of the patient was 63 years with a range of 35to 80 years. There were 14 type 2 fractures and 8 type 3 fractures. The average surgical time was 55 minutes ranging from 30 to 90 min and average blood loss was 90 cc. The average time to union was 8 weeks ranging from 6 to 12 weeks. There were no nonunion. There was knee pain in 4 patients and one patient with superficial infection which responded to appropriate antibiotics. Two malunion with varus angulation of less than 10 degrees was seen. According to Sanders traumatic hip scoring there were 31 % excellent results, 58% good results and 11% poor results. Conclusions: Although DHS is well recommended in stable IT fractures, valgus fixation in unstable fractures gives good results without extra surgical skill or extensive pre operative planning

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

DR. GAURAV VALA UNSTABLE INTERTROCHANTERIC FRACTURE FUMUR TREATED BY DYNAMIC HIP SCREW IN VALGUS FIXATION International Journal of Scientific Research, Vol : 5, Issue : 5 MAY 2016

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