Clinico-radiological and functional outcome of intertrochanteric fractures by dynamic hip screw

Background: Fractures of proximal femur are amongst the most often encountered fractures by orthopedic surgeon. Intertrochanteric fractures were one of the most common fractures of the hip especially in the osteoporotic bones and high velocity trauma. Many treatment techniques are described in literature but internal fixation with Dynamic Hip Screw is the versatile treatment of choice.Objective: To analyze the clinico-radiological and functional outcome of intertrochanteric fractures by dynamic hip screw.Materials and Methods: A retrospective study with 64 adult patients with intertrochanteric fractures according to Boyd & Griffin classification were treated with dynamic hip screw (DHS) in School of Medical Sciences & Research from January 2014 and December 2018. All the cases were followed at regular intervals as per our study protocol. The functional outcome were assessed with Modified Harris Hip Score.Results: In the present study, 64 intertrochanteric fractures underwent surgical fixation with dynamic hip screw (DHS). The functional results assessed by Modified Harris Hip score showed excellent in 37 cases (57.81%), good in 13 cases (20.31%), fair in 9 cases (14.06%) and poor in 5 cases (7.81%).Conclusion: We conclude that the dynamic hip screw (DHS) is an ideal and versatile implant of choice for intertrochanteric fractures, leading to high rate of bone union restoring the postero-medial wall, reducing the chances of implant failure and decreasing the post-operative morbidity by improving the functional quality of life.