scholarly journals Treatment of Unstable Trochanteric Fractures Using Dynamic Hip Screw Combined with Additional Buttress Plate.

1992 ◽  
Vol 41 (1) ◽  
pp. 228-232
Author(s):  
Takeshi Saito ◽  
Masashi Sagara ◽  
Hiroshi Inoue ◽  
Jyouji Noguchi ◽  
Iwao Yanagida ◽  
...  
Keyword(s):  
Dynamic Hip Screw ◽  
Trochanteric Fractures ◽  
Hip Screw ◽  
Buttress Plate

A comparison study of proximal femoral nail and dynamic hip screw devices in unstable trochanteric fractures

2018 ◽  
Vol 35 (3) ◽  
pp. 413
Author(s):  
MohamedA Mostafa ◽  
HassanH Ahmed ◽  
HaniA.M Bassiooni ◽  
ElsayedM Mohamady
Keyword(s):  
Dynamic Hip Screw ◽  
Proximal Femoral Nail ◽  
Comparison Study ◽  
Trochanteric Fractures ◽  
Femoral Nail ◽  
Hip Screw

Blood loss in trochanteric fractures: multivariate analysis comparing dynamic hip screw and Gamma nail

Injury ◽  
2017 ◽  
Vol 48 ◽  
pp. S44-S47 ◽  
Author(s):  
Mario Ronga ◽  
Daniele Bonzini ◽  
Marco Valoroso ◽  
Giuseppe La Barbera ◽  
Jacopo Tamini ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Blood Loss ◽  
Gamma Nail ◽  
Dynamic Hip Screw ◽  
Trochanteric Fractures ◽  
Hip Screw

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 Novel Method of Management of Unstable Trochanteric Fractures - A Retrospective Study in a Tertiary Care Hospital, Mysore

2021 ◽  
Vol 8 (18) ◽  
pp. 1264-1269
Author(s):  
Praveen Duraisamy ◽  
Vivekanandan Andavar ◽  
Balachanderc Rajendran ◽  
Girish Chandra Rangaswamy
Keyword(s):  
Fracture Healing ◽  
Trochanteric Fracture ◽  
Dynamic Hip Screw ◽  
Implant Failure ◽  
Care Hospital ◽  
Trochanteric Fractures ◽  
Case Record ◽  
Implant Migration ◽  
Hip Screw

BACKGROUND Trochanteric fractures are commonly encountered in elderly patients, and the outcome may be bad, if not intervened early. Dynamic hip screw (DHS) fixation is the most common treatment in stable trochanteric fracture. In unstable trochanteric fractures, there is high incidence of failure in view of excessive collapse seen with dynamic hip screw. In order to limit the collapse, we have done a modification on dynamic hip screw implant. Here we have assessed fracture healing, collapse and implant failure, in unstable trochanteric fractures (Evan’s unstable fractures) treated by modified dynamic hip screw fixation. METHODS The present retrospective case record analysis was conducted among 31 patients with unstable trochanteric fracture classified according to Evan’s classification who were operated with modified DHS in a tertiary care hospital. The details about fracture healing, collapse of fracture fragments, implant failure were assessed in a structured checklist through the case record analysis. RESULTS Out of 31 patients in this study, 29 patients showed fracture healing (93.5 %) with or without minimal collapse and 2 patients had non-union (6.5 %) at the end of 5 months follow up. Ultimately, all fractures united at the end of 1-year follow-up. Out of 31 patients in this study, at first month follow-up, 26 patients showed no implant failure (83.9 %), 5 patient had implant migration not breaching cortex (16.1 %), at third month follow-up, out of 5 patients who had implant migration, two patients had implant migration not breaching cortex (6.4 %), 3 patients had implant migration breaching cortex (11.0 %), at fifth month follow-up, two patients had implant migration not breaching cortex (6.4 %), 3 patients who had implant migration breaching cortex underwent revision surgery (11.0 %). CONCLUSIONS Modified dynamic hip screw has shown improved results as compared to normal dynamic hip screw in treating unstable trochanteric fracture, which limits the collapse at fracture site. KEYWORDS Unstable Trochanteric Fractures, Collapse, Modified Dynamic Hip Screw

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