IJOCP | August 2016 | Volume 2016 | Issue 2016 | Page 121

Conference: Punjab Chapter of Indian Orthopaedic Association (POACON) – 2012, Amritsar, India  

Authors: Rohit Jain

Authors Affiliatoins:

Address of correspondence: 2011rohit@gmail.com


Abstract
 
   
                                                                                      

Introduction:

Inter-trochanteric fractures are associated with significant morbidity and mortality in the elderly population. The present study aims to compare the clinico- radiological outcome and functional assessment of unstable and stable inter-trochanteric fractures after using Dynamic hip screw in elderly patients.

Materials and methods:

Patients admitted with intertrochanteric fractures treated with Dynamic Hip Screw were included in the study. For study purpose the patients were divided into Group A (stable) and Group B (unstable) depending upon the fracture configuration. Clinical outcome parameters include perioperative complications, functional outcomes, and incidence of morbidity and mortality.

Results:

The study included sixty eight elderly patients with mean age of 81 years. Group A included 30 stable while Group B 38 unstable fractures. Patients were followed-up for atleast 18 months. The rates of local complications were not significantly different between the 2 groups. Intra-operative time and blood loss was significantly higher in Group B patients. The incidence of malunion and excessive impaction were significantly higher in the unstable group. The ambulatory status at one year post-surgery was not significantly different between the 2 groups.

Conclusion:

To conclude, DHS provides a sufficiently stable fixation in elderly patients in stable as well as unstable inter-trochanteric fractures. Inspite of higher incidence of malunion and excessive impaction in unstable fracture group, there was no difference in functional status at one-year follow up compared to the stable group.

Keyword :- intertrochanteric fractures, Dynamic hip screw

How to Cite this Abstract
Jain R. A Comparative Study of Unstable and Stable Intertrochanteric Fractures treated by Dynamic Hip Screw in Elderly Patients. International Journal of Conference Proceedings August 2016;(2016):121