A Comparative Study between Dynamic Hip Screw and External Fixation for Evans stable and unstable type I Intertrochanteric Femoral Fractures | ||
| IRAQI JOURNALOF COMMUNITY MEDICINE | ||
| Article 1, Volume 29, Issue 2, June 2016, Pages 1-7 | ||
| Authors | ||
| Issam Al-Azzawi; Wamieth AJ Augla | ||
| Abstract | ||
| Introduction: Intertrochanteric fractures are common among elderly people and considered to have a serious impact on patient and community. Various classification systems and treatment methods are described which also vary in their results. Aim: To compare between external skeletal fixation and dynamic hip screw fixation in the treatment of intertrochanteric fractures of Evans stable and unstable type 1, in regard to age, gender, treatment choice, perioperative and postoperative outcome, and complications. Patients and methods: Seventy-four patients who met the criteria were selected for this study in which 54 patients were treated by external skeletal fixation while the other 24 were treated with dynamic hip screw fixation. Perioperative measures, post-operative follow-up and final outcome were recorded for each patient. Results: Patient who were treated with external fixation were subjected to less anesthesia time, less operative time, less perioperative blood loss, less exposure to radiation, faster healing rates, and minimal complications. Conclusion: Treatment with external fixator is an effective choice of treatment for Evans stable and unstable type 1 intertrochanteric fractures in elderly high risk patient | ||
| Keywords | ||
| Intertrochanteric fractures; External skeletal fixation; dynamic hip screw | ||
|
Statistics Article View: 160 PDF Download: 53 |
||