Comparative, prospective, randomized study of the modified minimally invasive technique versus the conventional technique of dynamic hip screw (DHS), fixation for intertrochanteric fractures in the elderly

Shams, Ahmed; El-Sayed, Mohamed; Elsawy, Mohamed; Hafez, Kamal; Gad, Hossam

doi:10.1007/s12570-014-0267-x

Cited by 1 publication

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“…In the study conducted by Leung W et al, mean bone healing time was 9 weeks whereas another study showed complete fracture union occurred in average 4.2 months [31,32] . In our study, mean union time was 14 weeks and it might be due to decrease drainage of fracture haematoma through small incision (< 5 cm) during surgery supporting biological process of fracture healing.…”

Section: Discussionmentioning

confidence: 96%

Minimal Invasive Dynamic Hip Screw Fixation for Intertrochanteric Fractures of Femur

Kandel

Pathak

Singh

et al. 2016

International Journal of Orthopaedics

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nonunion, implant cut out, joint infection, delayed union and varus deformity was not observed in any of these patients. Moreover, Harris Hip Score showed good functional outcome. CONCLUSION: Fixation of DHS with minimal invasive technique for stable hip fracture has good functional outcome in cost effective way with fewer incidences of complications resulting in great advantage over the conventional method of fixation. INTRODUCTIONHip fractures are leading cause of death and disability among the elderly. Proximal femoral fracture accounts 30% of all hospital admissions with mortality of 15-20% worldwide. Among these, trochanteric fractures are around four times more with female predominance. Treatment goals for these populations include early rehabilitation, restoration of the anatomic alignment of the proximal part of femur and maintenance of fracture reduction [1][2][3][4] . Though resistance augmented Baixauli plates, Medroff plates, trochanteric stabilizing plates, percutaneous compression plates and intra medullary devices are focused on unstable inter-trochantric fracture, it is now almost universally accepted that internal fixation is the best method in which fixation with Dynamic Hip Screw (DHS) is considered as the standard one [5][6][7][8][9] . In the last decade, minimal invasive DHS (MIDHS) technique offered a better outcome compared to conventional approach, while maintaining equal fixation stability. The experimental basis of minimal invasive surgery is based on the fact that nutrient artery gives 2/3 rd of the blood supply to the bone, and 1/3 rd comes from the periosteum inflow [3] . So, this study which was conducted to ascertain the short term

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Section: Discussionmentioning

confidence: 96%