scholarly journals A comparision and analysis of dynamic hip screw v/s multiple cannulated cancellous screws for neck femur fractures in young Indian population

2021 ◽  
Vol 5 (4) ◽  
pp. 47-50
Author(s):  
Dr. Prabhav Tijoriwala ◽  
Dr. Dhruv Patel ◽  
Dr. Sunny Patel ◽  
Dr. Ekta Mehta ◽  
Dr. Dharmesh Machhar ◽  
...  
Keyword(s):  
Indian Population ◽  
Dynamic Hip Screw ◽  
Femur Fractures ◽  
Hip Screw ◽  
Cancellous Screws

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 A Study on Management of Basicervical Neck Femur Fractures with Dynamic Hip Screw (DHS) and Derotation Screw Fixation

2020 ◽  
Vol 6 (8) ◽  
pp. 304-309
Author(s):  
Malay Kumar Saha ◽  
Mohammad Jahangir Alam ◽  
Rezaul Karim ◽  
Zakir Hossain ◽  
Joyosree Paul ◽  
...  
Keyword(s):  
Screw Fixation ◽  
Dynamic Hip Screw ◽  
Femur Fractures ◽  
Hip Screw

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.

Peritrochanteric Fractures of the Femur: A Comparison between the Ender Nail, Gamma Nail and Dynamic Hip Screw

1996 ◽  
Vol 6 (1) ◽  
pp. 29-39 ◽  
Author(s):  
J.A. De Pedro ◽  
J. Rey ◽  
R. Lopez-Casero ◽  
A.J. Perez-Cab Aller ◽  
I Dominguez ◽  
...  
Keyword(s):  
Weight Bearing ◽  
Operation Time ◽  
Clinical Results ◽  
Gamma Nail ◽  
Dynamic Hip Screw ◽  
Bony Union ◽  
Early Weight Bearing ◽  
Femur Fractures ◽  
Fracture Configuration ◽  
Hip Screw

Surgical fixation, early weight-bearing, and bony union remain a challenge in the treatment of peritrochanteric femur fractures, especially if the fractures are comminuted or unstable. A randomized prospective study of 154 fractures treated by either the Gamma nail (43), Dynamic Hip Screw (DHS) (30) or Ender's nail (81) is reported. The average follow-up for Ender's nails was 36.7 months; for DHS 39.4 months and for Gamma nails 37.3 months. The Ender's nails required a significantly (p<0.001) shorter operation time of 42±13.4 min. The Gamma nail group required a higher mean duration of screening, 193±92 sec. Few screws in either group were in a bad position, but 12 (32%), in the Gamma nail group, and 2 (10%) in the DHS were placed superiorly in the head. From this experience, the Gamma nail appears to allow for early patient ambulation regardless of the fracture configuration with good clinical results, but the potential advantages of the Gamma nail are still unclear in these already compromised patients.

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