Dynamic Hip Screw (Dhs) Evaluation of Stable and Unstable Intertrochanteric Fracture of Femur Fixed

Abstract

All 40 patients with femur intertrochanteric fracture were enlisted. All cases isolated in 2 groups every having 20 patients, group A stable fracture and group B unstable fractures. After complete physical examination, examinations and fracture arrangement evaluation, patients were readied for operation. Fracture table was used in each operation. Fracture reduction was initially attempted by close manipulation and was successful in 30 (75%) cases. Lateral approach for proximal femur was used in every case. All fractures, whether stable or unstable, were reduced anatomically without any type of osteotomy and then fixed with 135 o dynamic hip screw. Results: Mean age was 62.8.2 years of the cases. Gender ratio was 3:1. According to mode of injury were found RTA in 21 (70%) patients. Postoperative complications were recorded as; superficial infection noted in 2 (5%) patients and there was no case of deep infection. Average stay of hospital found 16.5 days in 17 (42.5%) patients belongs to stable group and 06 (15%) patients belong to unstable group. All (n=40) patients were pain free on their discharge from hospital. In all (n=40) patients we achieved union and there was no case of delayed union or non-union. We assessed functional outcome of our patients on the base of Stinchfield Hip Assessment system. According to SHAS 28 (70%) patients were excellent, 05 (12.5%) patients were good, 04 (10%) were fair and 03 (7.5) were poor. We had not found mortality in our patients. Conclusions: According to our conclusion DHS is the best implant for intertrochanteric fracture fixation. No matter; whether fracture is stable, unstable and fresh or old.