Short term follow up of intertrochantric femoral neck fractures treated by DHS in adults | ||
| KUFA MEDICAL JOURNAL | ||
| Article 1, Volume 15, Issue 1, June 2012, Pages 386-394 | ||
| Authors | ||
| Dr.Jameel Tahseen; Dr.Alaa A.H. Al-algawy | ||
| Abstract | ||
| Intertrochanteric fracture, one of the most common osteoporotic fractures in the elderly (6,19), occurs in approximately 185.2/100,000 of the northern Thai population (38). Surgical repair is now considered as the standard care .The exception to this rule is when the patient’s medical co morbidity precludes surgery- Ideally, surgery is recommended within 2days after the injury(4,48,50). The aim is to provide a stable construct, which allows early mobilization and some weight bearing to minimize the sequelae of long term recumbence .It may also restore the patient’s previous level of independence and function.(32,35 The dynamic hip screw (DHS),is an ideal implant for the operative treatment of stable pertrochanteric femur fractures (AOclassification31-A.1 (25) The dynamic hip screw(DHS),initially introduced by Clawson in1964,remains the implant of choice because of its favorable results and low rate of nonunion or hard ware failure .(11,16,39) McLoughlin et al. found no difference in the biomechanical stability of two and four-hole DHS and supported the clinical use of the two-hole side-plate for intertrochanteric fractures (36). Bolhofner et al. reported no failure in the two-hole side-plate DHS fixation in 69 patients (8) The superiority of sliding hip screw devices over fixed devices for the fixation of trochanteric fractures of the femur has been clearly established( l,2,24). However , failure of the fixation to hold the fracture until union of the order of (10%) are still reported, and this may rise to 16 % for unstable fractures (13,24,33,34) | ||
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