Functional Outcome of Trochanteric Fractures Treated by Dynamic Hip Screw Fixation with Locking Side Plate
Abstract
Background: The goal of operative treatment in intertrochanteric fractures is a strong and stable fixation of the fracture fragments. Failure of a dynamic hip screw (DHS) fixation leads to decreased mobility of the patient, and frequently to decrease in general health. A dynamic hip screw fixed with a fixed angle locking screws would reduce the risk of DHS failure. The objective of the study was to assess the fracture union and functional outcome of intertrochanteric fractures treated with locking DHS.
Materials and Methods: A prospective case series study of 26 patients underwent dynamic hip screw fixation after 12 months of follow up, to evaluate the advantages and disadvantages associated with the locking DHS and to evaluate the major postoperative complications associated with the treatment. The functional outcome was assessed using Salvati –Wilson scoring system.
Results: The functional outcome was excellent in 45.83% and good in 33.33% of the patients after one year of follow up. In 66.67% of patients, fracture was found to be radiologically united at the 3rd month follow up. 38.46 % of patients developed complications due to technical failures.
Conclusion: Locking dynamic hip screw can be considered an effective method of treating trochanteric fractures in terms of functional outcome.
When publishing with Kerala Medicial Journal (KMJ), authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal. Work includes the material submitted for publication and any other related material submitted to KMJ. In the event that KMJ does not publish said work, the author(s) will be so notified and all rights assigned hereunder will revert to the author(s).
The assignment of rights to KMJ includes but is not expressly limited to rights to edit, publish, reproduce, distribute copies, include in indexes or search databases in print, electronic, or other media, whether or not in use at the time of execution of this agreement.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
The author(s) hereby represents and warrants that they are sole author(s) of the work, that all authors have participated in and agree with the content and conclusions of the work, that the work is original, and does not infringe upon any copyright, propriety, or personal right of any third party, and that no part of it nor any work based on substantially similar data has been submitted to another publication.
