Comparison of conservative and internal fixation with dynamic hip screw methods in management of intertrochanteric fractures of the femur
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Date
2016
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Publisher
Educational Society for Excellence
Abstract
Background: Intertrochanteric fractures are the most commonly treated fractures by Orthopedic surgeon. Many techniques are described in literature but internal fixation with Dynamic Hip screw is most efficient method. Aim: The present study was conducted to compare the results of conservative methods and internal fixation with dynamic hip screw in management of intertrochanteric fractures of the femur. Materials and methods: This study included 40 patients of intertrochanteric fractures of the femur, out of which 30 patients were treated by conservative methods considered as Group I and 10 patients were treated by internal fixation with Dynamic Hip Screw (DHS) considered as Group II. All the results were evaluated by using Kyle’s criteria. Results: In Group I, 4 (13.3%) cases had excellent results, 6 (20%) case had good results, 20 (66.6%) cases had poor results. In Group II, 8 (80%) cases had excellent results, 6 (20%) cases had good results. In Group I, 73.3% of cases had unstable fractures and in Group II, 80% of cases had unstable fractures Conclusion: The quality of results was better with internal fixation with dynamic hip screw (DHS) as compared to conservative methods
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Keywords
Intertrochanteric fractures, Dynamic Hip Screw, Conservative management, Hip fractures
Citation
Ragi V, Sridevi A. Comparison of conservative and internal fixation with dynamic hip screw methods in management of intertrochanteric fractures of the femur. International Archives of Integrated Medicine. 2016 Mar; 3(3): 70-75