A COMPARATIVE STUDY OF UNSTABLE AND STABLE INTERTROCHANTERIC FRACTURES TREATED BY DYNAMIC HIP SCREW IN ELDERLY PATIENTS
|IJOCP | August 2016 | Volume 2016 | Issue 2016 | Page 121
Conference: Punjab Chapter of Indian Orthopaedic Association (POACON) – 2012, Amritsar, India
Authors: Rohit Jain
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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.
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.
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|