FUNCTIONAL AND RADIOLOGICAL OUTCOME OF UNSTABLE INTERTROCHANTERIC FRACTURE FIXED VIA DYNAMIC HIP SCREW

Abstract

Introduction

The most common type of fracture that requires surgery is an intratrochanteric fracture, which also has the highest rate of postoperative mortality. The proximal femoral nail (PFN) and dynamic hip screw (DHS) with side plate assemblies are the most often utilized device In tertiary care hospital in Gujranwala Pakistan. the purpose of this study was to ascertain the functional and radiological outcome of an unstable intertrochanteric fracture following DHS fixation.

Methods: From June 12, 2016, to September 8, 2017, a study was conducted at the orthopedics department at the Gujranwala teaching hospital gujranwala (GTH). There were 60 patients with unstable intertrochanteric fractures, ranging in age from 34 to 94. Patients with open fractures, subtrochanteric fractures, intracapsular fractures of the femur neck, pathological fractures, numerous injuries, and patients who were not mobile before the injury were excluded. The visual analog scale was used to quantify functional outcomes during pain, and a goniometer was used to measure range of motion between 80 and 100 degrees. After three months, results were evaluated for satisfaction.

Results: This study comprised 60 patients who had post-DHS fixation for an unstable intertrochanteric fracture, according to radiographic diagnosis. Of them, 40% (24) were men, and their average age fell between 50 and 80 years old, at 66.61 ± 7.79 years. 6-% (36) of the patients had type II diabetes, and their mean age was 65 ± 8.37 years. After three months, 75% (45) of the patients reported no pain, and 92% (55) of the patients were functioning normally. In 90% (54) of the patients, the radiological result was found to be satisfactory.

Conclusion: At the conclusion of three months, 90% (55) of the patients had satisfactory results.
In summary Better outcomes are seen when dynamic hip screw (DHS) fixation is used to treat unstable intertrochanteric fractures