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Name | Management of Intertrochantric fractures of femur by dynamic hip screw in lateral position |
Description | Original article:- Orthopedics Ajit Swamy1* & Amit Swamy2 1Professor, Department of Orthopedics, Pad Shri Dr DY Patil Medical College & Hospitals, Pimpri, Pune, Maharashtra, India. 2 Professor, Department of Orthopedics MIMER Medical College & Hospitals,Talegaon, Pune, Maharashtra, India.
Abstract:- Background and Objectives: Intertrochantric fractures of femur constitute a vast majority of admissions in orthopedic wards. It is universally accepted that internal fixation with dynamic hip screw is the best method of treatment because it allows early stability and mobility. We performed a prospective review of intertrochantric fractures treated with dynamic hip screw in lateral position to ascertain whether fracture table is a must for surgery. Design and Setting: The surgeries were performed in Dr D Y Patil Medical College, pimpri,Pune, Maharashtra, India between feb2007 to mar 2008. Methods: Fifty patients (35 males & 15 females) admitted with intertrochantric fracture type 2,3 & 4 (Kyle classification) were treated with dynamic hip screw in LATERAL POSITION , SIMPLE TABLE and the results analyzed. Results: Average hospital stay was around 8 days, average time to union was 6 months.36% patients had excellent results, 46% good and 18 % had fair results according to Kyle’s criteria. Conclusions: Our results prove that dynamic hip screw can be fixed in lateral position on simple table and this obviates the need for a fracture table. However the surgical technique is demanding and requires practice and there is a learning curve.
Key Words:- Dynamic hip screw, intertrochantric fractures, lateral position.
References:- 1.HORN & WANG: Mechanism of Traumatic Anatomy of Trochanteric fractures. British Journal of Surgery 1964; 51:574. 2.MERVYN EVANS: The treatment of trochantric fractures of femur .J. of Bone & Joint Surgery 1949; 31B:190. 3.KYLE, GUSTILO: Analysis of 622 cases of Intertrochanteric fractures- Retrospective & Prospective study. J. of Bone & Joint Surgery 1979; 61A:899. 4.DIMON & HUGHSTON: Management of unstable fractures in intertrochanteric region. J of Bone & Joint Surgery 1983; 49A:440. 5.MATHER CLEAVELAND: A Ten year analysis of intertrochantric fractures. J. of Bone & Joint Surger.1983; 63B:218. 6.JENSON: Classification of Trochanteric fractures. Acta Orthopaedic Scand 1980; 51:803. 7.Philip H. Davis, Frymoyer: The lateral position in the surgical manaement of intertrochantric and subtrochantric fractures of the femur.J. of Bone & Joint Surgery 1969; 51A: 6. 8.Kaufer, H: Mechanics of the Treatment of Hip Injuries. Clin. Orthop 1980; 146: 53-61. 9.Barns R, Brown JT, Garden RG, et al. Subcapital fractures of the femur. J Bone Joint Surg 1976; 58- B : 2. 10.Fielding JW. Displaced femoral neck fractures, Orthop Rev 1973; 2:11. 11.Hunter G. Treatment of fracturesw of the neck of the femur. Can Med Assoc 1977; 117: 60. 12.Parker MJ. Valgus reduction of trochantric fractures. Injury 1993; 24: 313-6.
Copyright © 2013 Amit Swamy & Ajit Swamy. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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