scholarly journals A comparative study between proximal femur locking compression plate and dynamic hip screw fixation in management of intertrochantric femur fractures

2016 ◽  
Vol 2 (4) ◽  
pp. 327
Author(s):  
Mithlesh Kumar Meena ◽  
Vinay Joshi
Keyword(s):  
Locking Plate ◽  
Locking Compression Plate ◽  
Dynamic Hip Screw ◽  
Intertrochanteric Fractures ◽  
Trochanteric Fractures ◽  
Superficial Infection ◽  
Femur Fractures ◽  
Compression Plate ◽  
Hip Screw ◽  
The Mean

<p class="abstract"><strong>Background:</strong> Proximal femur fractures are one of the commonest fracture encountered in orthopaedic trauma practice. Dynamic hip screw (DHS) is the gold standard procedure for treatment for stable intertrochanteric  fractures, however problem arises with unstable fractures in maintenance of neck shaft angle and proper reduction. Here we are giving results of trochanteric fractures treated with proximal femoral locking compression plate (PFLCP) as compared with dynamic hip screw (DHS).</p><p class="abstract"><strong>Methods:</strong> This study was a prospective study. Two groups of trochanteric fractures of 25 patients operated with DHS and LCP were taken. Each patient was followed-up from July 2011 to October 2012 for minimum of 12 month or till the bony union.<strong> </strong>Every fracture was classified according to AO classification. Functional results will be assessed as per modified Harris hip evaluation score.<strong></strong></p><p class="abstract"><strong>Results:</strong> Among 25 patient treated with PFLCP, length discrepancy was .857 cm while that for DHS was 1.2 cm. The mean time of unaided walking with LCP Was 14.20 weeks while for DHS it was 16.20 weeks. The mean varus angulation for LCP 8 degree while for DHS 10.2 degree. In LCP in 1 case screw cut out from head and neck of femur while in DHS, same is seen in 2 cases and in addition loss of position of lag screw seen in 5 cases.one case was found with superficial infection in LCP while in case of DHS 3 cases with deep infection for that implant was removed and 6 cases were found with superficial infection.</p><p><strong>Conclusions:</strong> Proximal femoral locking plate (PFLCP) is simple, stable for fixation with fewer complications, and is an effective method for unstable intertrochanteric fractures.  Comparing with DHS group, the locking plate has shorter operative time, fewer blood loss and drainage.</p>

scholarly journals Fixation of Intertrochanteric Fractures: Dynamic Hip Screw versus Locking Compression Plate

2013 ◽  
Vol 18 (2) ◽  
pp. 67-70 ◽  
Author(s):  
Mohsen Mardani-Kivi ◽  
Ahmadreza Mirbolook ◽  
Sina Khajeh Jahromi ◽  
Melina Rouhi Rad
Keyword(s):  
Locking Compression Plate ◽  
Dynamic Hip Screw ◽  
Intertrochanteric Fractures ◽  
Compression Plate ◽  
Hip Screw

scholarly journals Comparative analysis between dynamic hip screw with trochanteric stabilisation plate and dynamic hip screw alone in the management of unstable intertrochanteric femur fractures

2020 ◽  
Vol 6 (6) ◽  
pp. 1280
Author(s):  
Rajeev Anand ◽  
Amit Dwivedi ◽  
Anupinder Sharma
Keyword(s):  
Comparative Analysis ◽  
Functional Outcome ◽  
Normal Function ◽  
Dynamic Hip Screw ◽  
Intertrochanteric Fractures ◽  
Trochanteric Fractures ◽  
Femur Fractures ◽  
Good Score ◽  
Hip Screw ◽  
Fractures Of The Femur

<p class="abstract"><strong>Background:</strong> Intertrochanteric fractures of the femur are difficult to manage because of the complex patterns they present with. A dynamic hip screw (DHS) and a DHS supplemented with a trochanteric stabilisation plate (TSP) are among a variety of fixation methods used in the management of such injuries. We compared the efficacy of DHS with TSP to DHS alone in the treatment of unstable intertrochanteric femur fractures.</p><p class="abstract"><strong>Methods:</strong> 30 patients of intertrochanteric femur fractures (mean age 72 years) were included in the study, 14 were treated using DHS with TSP while 16 were treated using DHS alone, they were followed up till 16 weeks and the progress was recorded according to the parameters in the Salvati and Wilson score.<strong></strong></p><p class="abstract"><strong>Results:</strong> 14 patients were treated using DHS with TSP, 11 of them had excellent Salvati and Wilson scores, 3 patients recorded good scores, 11 patients were able to walk with no pain while 3 needed aids for walking due to pain, normal function was restored in 12 patients while very little restriction was seen in 2 patients</p><p class="abstract">Of the16 patients treated using DHS alone, 10 had excellent scores, 6 recorded a good score, 10 patients walked with no pain while 6 needed aids for walking due to pain, normal function was re-stored in 11 patients, very little restriction was seen in 4 patients while 1 patient had restricted nor-mal activity.</p><p class="abstract"><strong>Conclusions:</strong> DHS with TSP appears to provide better fixation and functional outcome in unstable inter trochanteric fractures over DHS alone.</p>

scholarly journals Randomized control trial comparing the functional outcomes of dynamic hip screw and locking plate dynamic hip screw in intertrochanteric fractures of femur

2020 ◽  
Vol 6 (3) ◽  
pp. 525
Author(s):  
Kiran Ramachandran ◽  
Dileep Sasidharan ◽  
Oommen Mathew
Keyword(s):  
Functional Outcomes ◽  
Locking Plate ◽  
Dynamic Hip Screw ◽  
Research Centre ◽  
Harris Hip Score ◽  
Intertrochanteric Fractures ◽  
Neck Shaft Angle ◽  
Operative Care ◽  
Significant Difference ◽  
Hip Screw

<p class="abstract"><strong>Background:</strong> The objective of the study was to compare the functional outcomes of intertrochanteric fractures of the femur treated with dynamic hip screw (DHS) and locking plate DHS in elderly.</p><p class="abstract"><strong>Methods:</strong> 48 participants (23 in DHS and 25 in locking plate DHS) aged ≥ 50 years with intertrochanteric fracture of femur were enrolled in the present randomized open label parallel group trial conducted at Pushpagiri Institute of Medical Sciences and Research Centre during a period of 1 year. Open, pathological, other fractures in the same limb and participants with neurological involvement were excluded. Standard of care (pre and post-operative care) was given to all participants. Sociodemographic, radiological findings, fracture type and Singh’s index were recorded at baseline, 6 weeks, 3 and 6 months. Study commenced after approval from Institutional Ethics Committee and written informed consent was obtained from all study participants. Participants were randomized in 1:1 ratio using coin flip method. Quantitative variables were expressed means and medians and qualitative variables were expressed as proportions. Tests of significance were independent sample t test, Mann Whitney U test, Friedman test and Chi square test.<strong></strong></p><p class="abstract"><strong>Results:</strong> Between DHS and locking plate DHS, no significant difference in baseline parameters, neck shaft angle, tip apex distance, shortening, Harris hip score, range of motion score and length of hospital stay were observed.</p><p class="abstract"><strong>Conclusions:</strong> The functional outcomes and complications between DHS and locking plate DHS were not significantly different.</p>

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>

scholarly journals A clinical study in distal femur fractures management with locking compression plate without C-arm images

2019 ◽  
Vol 5 (5) ◽  
pp. 875
Author(s):  
Gaurav Singla
Keyword(s):  
Functional Outcome ◽  
Distal Femur ◽  
Locking Plate ◽  
Imaging Modality ◽  
Femoral Fractures ◽  
Locking Compression Plate ◽  
Anatomical Location ◽  
Anatomical Reduction ◽  
Femur Fractures ◽  
Compression Plate

<p class="abstract"><strong>Background:</strong> Distal femur fractures pose a surgical challenge to the orthopaedic surgeons. Multiple implants are available but locking compression plate is a good implant to be used in this anatomical location. LCP may reduce the tendency of varus collapse and offers higher stability than other implants. Aim of our study was to review functional outcome, union time and complications in distal femoral fractures treated with distal femoral locking plate without C-arm imaging modality.</p><p class="abstract"><strong>Methods:</strong> 25 patients with closed or open type grade1 and 2 distal femur fractures managed with open method locking compression plate without C-arm image. Pritchett rating system was used for evaluation of outcome.<strong></strong></p><p class="abstract"><strong>Results:</strong> All patients in this series united well with an average time of 13 weeks with minimal complications. Functional outcome was excellent in 4 patients, good in 19 patients, fair in 2 patients.</p><p class="abstract"><strong>Conclusions:</strong> Open reduction and locking compression plate is suitable implant available for fixation of distal femur fractures with minimal complications. Even it can be done without C-arm. Surgical technique and proper anatomical reduction and alignment are the key for good results.</p>

scholarly journals Comparison between the outcome of proximal femoral locking compression plate and dynamic hip screw in intertrochanteric femoral fractures

2021 ◽  
Vol 8 (10) ◽  
pp. 2880
Author(s):  
Adnan Arif ◽  
Hamza Waqar Bhatti ◽  
Noman Ahmed Chaudhary ◽  
Abdullah Sadiq
Keyword(s):  
Demographic Data ◽  
Randomized Study ◽  
Femoral Fractures ◽  
Locking Compression Plate ◽  
Bone Union ◽  
Trochanteric Fractures ◽  
Implant Complications ◽  
Compression Plate ◽  
Hip Screw ◽  
Better Than

Background: Inter-trochanteric femoral fractures are associated with a high complication rate and mortality. This study aims to compare the proximal femoral locking compression plate (PFLCP) with dynamic hip screws (DHS) for inter-trochanteric femoral fractures in terms of mean bone union time.Methods: It was a prospective randomized study conducted at the department of orthopedics, Benazir Bhutto Hospital, Rawalpindi, Pakistan from June 2015 to December 2015. Sixty patients with a diagnosis of inter-trochanteric fractures, requiring orthopedic surgery, were included in the study. After randomization thirty patients underwent PFLCP fixation and the other thirty patients underwent DHS fixation. Patient information, demographic data, and functional level were assessed. Mean bone union time and implant complications were compared for the two treatment groups.Results: Patients who underwent PFLCP fixation demonstrated shorter bone union time (2.8±0.2 months) than those who underwent DHS fixation (3.2±0.1 months) (p<0.000). PFLCP group had 90% bone union whereas DHS group had 76.66% bone union at 12 weeks (p=0.16). Conclusions: PFLCP is better than DHS for intertrochanteric femoral fractures in terms of shorter mean bone union time and fewer complications.

scholarly journals INTER-TROCHANTERIC FRACTURES;

2019 ◽  
Vol 26 (03) ◽  
Author(s):  
Farhad Alam ◽  
Mudassar Jabeen
Keyword(s):  
Internal Fixation ◽  
Case Series ◽  
Deep Infection ◽  
Dynamic Hip Screw ◽  
Intertrochanteric Fractures ◽  
Superficial Infection ◽  
Group A ◽  
Hip Screw ◽  
Group B

Introduction: Hip fractures are a leading cause of death and disability among elderly. Approximately half of these injuries are intertrochanteric fractures and the incidence is continuously increasing. These fractures are the most common injuries around the hip region and are more common in elderly people. Different types of implants were tried at different times for internal fixation of these fractures, of which dynamic hip screw has remained the most popular one. But with the advent of some newer implants, the efficacy of dynamic hip screw is being questioned. Objectives: To determine the results of dynamic hip screw as a method of internal fixation in closed stable as well as unstable intertrochanteric fractures of femur in adults. Design: Descriptive case series. Setting: The study was conducted in orthopedic department Allied Hospital Faisalabad. Period: 11months (from 26th, march, 2015 to 25th Feb, 2016). Subjects and Methods: Sixty cases of intertrochanteric fractures were included and operated for internal fixation with dynamic hip screw under fluoroscopic guidance. Pre, per and post-operative findings during hospital stay and follow-up period were recorded. Results: We had a total 60 cases, 20 patients in group A stable intertrochanteric fractures and 40 patients in group B unstable intertrochanteric fractures. We have reported the follow up study up to 20 weeks. There were 10 (50%) male and 10 (50%) female in group A. In group B 27 (67.5%) males and 13 (32.5%) females. The youngest pt was 25 years in group A and 16 years in group B. The mean age in group A was 59.10 and st/deviation 16.942. In group B mean age was 54.85 and st/ deviation 14.123. Infection rate in group A was 5%. In group B superficial infection was 5% and deep infection was 2.5%. Nonunion in both groups was 5%. The failure rate was 5% in group A and 20% in group B. Conclusion: The use of Dynamic hip screw with aside plate is associated with good results and acceptable complication rate. Dynamic hip screw is implant of choice in both stable and unstable intertrochanteric fractures.

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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