A prospective study to evaluate the outcome of operative treatment of patients with intertrochanteric fracture of femur with cephalomedullary nail and dynamic hip screw device

2020 ◽  
Keyword(s):  
Prospective Study ◽  
Operative Treatment ◽  
Intertrochanteric Fracture ◽  
Dynamic Hip Screw ◽  
Cephalomedullary Nail ◽  
Hip Screw ◽  
A Prospective Study

scholarly journals Dynamic Hip Screw for the Treatment of Femoral Neck Fractures: A Prospective Study with 96 Patients

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Carlos Roberto Schwartsmann ◽  
Lucas Senger Jacobus ◽  
Leandro de Freitas Spinelli ◽  
Leonardo Carbonera Boschin ◽  
Ramiro Zilles Gonçalves ◽  
...  
Keyword(s):  
Femoral Head ◽  
Prospective Study ◽  
Avascular Necrosis ◽  
Dynamic Hip Screw ◽  
Level Ii ◽  
Hospital Patients ◽  
Hip Screw ◽  
Therapeutic Study ◽  
A Prospective Study ◽  
Study Type

Objectives. To study the correlation between avascular necrosis and the demographics, time elapsed from fracture to surgery, quality of reduction, Garden classification, and the position of the screw following use of the dynamic hip screw (DHS) in the treatment of subcapital neck fractures. Methods. A prospective study of 96 patients with subcapital neck fractures was carried out in a faculty hospital. Patients underwent surgery with closed reduction and internal fixation with DHS. Results. There were 58% male and 42% female patients, with a mean age of 53 years (+/−14). In terms of Garden classification, 60% were Garden IV, 26% were Garden III, and 14% were Garden II. Nonunion was observed in three cases (3%) and was treated with valgus intertrochanteric osteotomy, in all cases leading to successful healing. Avascular necrosis was observed in 16% of patients. The positioning of the screw into the femoral head showed a significant correlation with necrosis. Conclusions. The incidence of necrosis in patients under the age of 50 years is twice as high as that in older patients. Displacement is a predictive factor regarding osteonecrosis and is associated with a high and anterior position of the screw in the femoral head. Level II of evidence. Study Type: therapeutic study.

scholarly journals Comparative evaluation of management of intertrochanteric fracture femur with proximal femoral nailing versus dynamic hip screw

2020 ◽  
Vol 6 (5) ◽  
pp. 1050
Author(s):  
Navneet Adhikari ◽  
Chandra Shekhar ◽  
Ganesh Singh ◽  
Hardev Singh
Keyword(s):  
Intertrochanteric Fracture ◽  
Joint Stiffness ◽  
Dynamic Hip Screw ◽  
Harris Hip Score ◽  
Functional Grade ◽  
Fracture Femur ◽  
Trochanteric Region ◽  
Hip Screw ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> Fractures involving trochanteric region of femur are one of the common fractures affecting elderly population. Presently surgical treatment is the treatment of choice with early mobilisation as primary goal. The two most common implants that are used are Dynamic hip screw (DHS) and Proximal femoral nail (PFN).</p><p class="abstract">Methods: This was a prospective study with 50 patients divided randomly into two groups of 25 each. One group operated by PFN and other with DHS. Patients were evaluated periodically and final comparison between two group was done at six months for analysing results on the basis of Harris hip score.</p><p class="abstract"><strong>Results: </strong>At final follow up in patients in PFN group 9 (36%), 7 (28%), 5 (20%), 4 (16%) patients had functional grade in excellent, good, fair and poor category respectively. In DHS group patients, 7 (28%), 10 (40%), 6 (24%), 2 (8%) patients had functional grade in excellent, good, fair and poor functional grade. Harris hip score was insignificantly (p&gt;0.05) lower in patients of PFN (82.68±12.28) than DHS (84.60±10.39).</p><p class="abstract"><strong>Conclusion: </strong>At final follow up we found that pain, limp, use of support while walking and hospital stay was less in PFN group. However, range of motion and hip functions were better in patients treated with DHS. Complications like Varus malunion and infection were common in DHS group while hip joint stiffness was seen more commonly in PFN group. So, both PFN and DHS in are comparable in respect to most of functional criteria for treatment of intertrochanteric fracture femur.</p>

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