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

2014 ◽  
Vol 6 (1) ◽  
pp. 27-33
Author(s):  
Ahmed Shams ◽  
Mohamed El-Sayed ◽  
Mohamed Elsawy ◽  
Kamal Hafez ◽  
Hosam Gad
Keyword(s):  
Minimally Invasive ◽  
Randomized Study ◽  
The Elderly ◽  
Conventional Technique ◽  
Dynamic Hip Screw ◽  
Minimally Invasive Technique ◽  
Prospective Randomized Study ◽  
Invasive Technique ◽  
Intertrochanteric Fractures ◽  
Hip Screw

scholarly journals Comparison between Conventional and Minimally Invasive Dynamic Hip Screws for Fixation of Intertrochanteric Fractures of the Femur

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
A. Mahmood ◽  
M. Kalra ◽  
M. K. Patralekh
Keyword(s):  
Surgical Technique ◽  
Minimally Invasive ◽  
Early Mobilization ◽  
Dynamic Hip Screw ◽  
Minimally Invasive Technique ◽  
Invasive Technique ◽  
Intertrochanteric Fractures ◽  
Tissue Destruction ◽  
Side Plate ◽  
Hip Screw

Background. Intertrochanteric fractures of the proximal femur are one of the most common fractures encountered, and dynamic hip screw with a side plate is the standard treatment. We compared a minimally invasive surgical technique with the conventional surgical technique used in the fixation of intertrochanteric fractures with the dynamic hip screw (DHS) device. Methods. Thirty patients with such fractures were treated with the conventional open technique and 30 with a new minimally invasive technique. Patients in both groups were followed up for 1 year. Results. There was less blood loss, minimal soft tissue destruction, shorter hospital stay, and early mobilization with the minimally invasive technique. Conclusion. The present study finds minimally invasive technique superior to conventional (open) DHS.

scholarly journals Management of Intertrochanteric Fractures of Femur by Minimally Invasive Dynamic Hip Screw

2014 ◽  
Vol 13 (4) ◽  
pp. 68-72
Author(s):  
Dayanand M ◽  
◽  
Deepak S ◽  
Manoj Kumar ◽  
Vijay Kumar ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Dynamic Hip Screw ◽  
Intertrochanteric Fractures ◽  
Hip Screw

scholarly journals Analysis of the Effect of Dynamic Hip Screw and Anatomical Locking Plate

2015 ◽  
Vol 4 (4) ◽  
pp. 11
Author(s):  
Rong Ren ◽  
Ying Ren ◽  
Junhua Ji
Keyword(s):  
Locking Plate ◽  
Operation Time ◽  
The Elderly ◽  
Healing Time ◽  
Dynamic Hip Screw ◽  
Intertrochanteric Fractures ◽  
Successful Operation ◽  
Postoperative Drainage ◽  
Hip Screw ◽  
Intertrochanteric Femur Fracture

<p><strong>Objective: </strong>To analyze the effects of dynamic hip screw (DHS) and anatomical locking plate in the treatment of intertrochanteric fractures in elderly patients. <strong>Method: </strong>56 cases of intertrochanteric femur fracture from March 2009 to October 2011 were treated by surgical treatment. The cases were divided into A and B groups with A group treated with DHS and B group with anatomical locking plates. <strong>Results</strong><strong>: </strong>Treatments of the two groups were successful. Operation time, bleeding volume, postoperative drainage, hospitalization time and fracture healing time of B group were significantly less than that of A group (<em>p</em> &lt; 0.05). The incidence of postoperative complications in B group was significantly less than that in the A group (<em>p</em> &lt; 0.05). The excellent and good ratings of B group was 93.1% and 66.7% for the A group. The fine rating of B group was higher than that of A group (<em>p</em> &lt; 0.05). <strong>Conclusion: </strong>Anatomical locking plate internal fixation for the treatment of intertrochanteric fractures in the elderly has certain advantages.</p>

386 Proximal Femoral Nail (PFN) Versus Dynamic Hip Screw (DHS) In Unstable Intertrochanteric Fractures of Femur -A Comparative Clinical Study

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
V Dubey ◽  
B Spiegelberg ◽  
S Shahane ◽  
A Samant
Keyword(s):  
Blood Loss ◽  
Randomized Study ◽  
Dynamic Hip Screw ◽  
Harris Hip Score ◽  
Intertrochanteric Fractures ◽  
Leg Length ◽  
Femur Fractures ◽  
Intertrochanteric Femoral Fracture ◽  
Duration Of Surgery ◽  
Hip Screw

Abstract Introduction The goal of treatment of an intertrochanteric femoral fracture is restoration of patient's mobility as early as possible. The dynamic hip screw (DHS) has been used for several decades to treat these fractures. Proximal femoral nails (PFN) are reported to have an advantage in such fractures. This study aims at comparing the results of unstable intertrochanteric fractures femur treated with PFN and DHS. Method This was a prospective, randomized study which includes sixty patients. All patients were available for follow up with 30 patients in each group. The data about intraoperative blood loss, time to union, leg length shortening was collected. The functional outcome at the end of one year was evaluated using Harris Hip Score. Results Blood loss, duration of surgery, time to union and leg length shortening was significantly less in the patients treated with PFN (p &lt; 0.05). The mean harris hip score for patients managed with PFN was significantly more than in DHS group, 12 months after surgery (p = 0.05). Conclusions PFN requires a smaller incision, lesser operative time, less blood loss and has improved functional results. In our opinion PFN may be a better fixation device for most of the unstable intertrochanteric femur fractures.

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