"RESULTS OF DYNAMIC HIP SCREW FIXATION IN INTERTROCHANTERIC FEMUR FRACTURES"

Abstract

Introduction: Intertrochanteric femur fractures are common in the elderly and require prompt surgical management to ensure early mobilization and reduce complications. Dynamic hip screw (DHS) fixation remains a widely used and cost-effective method, especially in developing countries like Pakistan.

Objective: To assess clinical and radiological results of the DHS fixation in intertrochanteric fractures of the femur by Orthopaedics Surgery Department, Khyber Teaching Hospital Peshawar, Pakistan.

Materials and Methods: This prospective observational study was carried at Orthopaedics Surgery Department, Khyber Teaching Hospital Peshawar, Pakistan in the duration from December, 2024 to June, 2025.  Patients treated with an AO/OTA type 31-A1 or A-2 intertrochanteric fracture were included and had to be older than 40 years. The exclusion criteria included pathological fractures, polytrauma, previous surgeries, and 31-A3 unstable fractures. All the patients were DHS-treated and followed up clinically and radiographically up to 12 weeks.

Results: There were 60 patients recruited. The results show radiological union in 98.3 per cent of radiological unions, and the mean Harris Hip Score at 12 weeks is 79.3. The complication rates were low: 5 per cent had superficial infections, and 3.3 per cent had implant-related failure.

Conclusion: The DHS fixation is a proven and very successful mode of undertaking the treatment of the intertrochanteric femur fracture, giving good outcomes and few complications when used with considerable selection of the patient and use of the surgical technique.