Key result
Dynamic hip screw fixation is linked to ~81% good or excellent outcomes in trochanteric femur fractures.
Why the study?
DHS fixation on unstable trochanteric fractures has a higher failure rate than in stable fractures, prompting evaluation of the DHS system to provide stable fixation in intertrochanteric A1 and A2 fractures.
Does internal fixation with a dynamic hip screw improve clinical and functional outcomes in patients with stable per trochanteric hip fractures?
Observational (n=54)
No
Does internal fixation with a dynamic hip screw improve clinical and functional outcomes in patients with stable per trochanteric hip fractures?
Dynamic hip screw fixation provides excellent or good functional outcomes in the majority of patients with stable trochanteric fractures.
Supports DHS in stable trochanteric fractures observationally; leaves open randomized comparisons to alternatives.
BACKGROUND: The use of a dynamic hip screw (DHS) for stable as well as unstable intertrochanteric hip fracture xation has been successfully applied in fracture healing for more than 25years. DHS xation on unstable trochanteric fractures still has a more failure rate compared to stable fractures, mostly due to osteoporosis in patients. Thus, this study is aimed to investigate the biomechanical property of the DHS system to provide the stable xation in intertrochanteric A1 and A2 fractures1. MATERIAL AND METHODS: This is a retrospective study of 54 patients with trochanteric fractures of the femur that were treated with DHS (Dynamic hip screw) during the period of two years from April 2019 to March 2021 in a tertiary care hospital. All surgeries were performed under spinal and epidural anaesthesia. Surgery done was an internal xation with DHS plate. Results: Among 54 cases, 55.5% were A1, and 44.4% were A2 pertrochanter fractures. The clinical and functional outcomes of the procedure were excellent in 25 patients (46.29%), good in 19 patients (35.18%), fair in 8 patients (14.81%), and 2 (3.7%) of the patients had poor results. CONCLUSIONS: Intertrochanteric fractures are essentially fractures of the elderly, which demand prompt treatment and early ambulation. The dynamic hip screw is the operative treatment of choice for stable trochanteric fractures
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Supe et al. (2021) conducted an observational in Trochanteric fractures of the femur (n=54). Dynamic hip screw (DHS) was evaluated on Clinical and functional outcomes. Dynamic hip screw fixation for trochanteric femur fractures yielded excellent clinical and functional outcomes in 46.29% of patients and good outcomes in 35.18%.
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