Outcome of Intertrochanteric Fractures in Elderly Patients treated with Dynamic Hip Screw.
Keywords:Dynamic Hip Screw, Harris Hip Score, Intertrochanteric.
Objective: To determine the functional outcome of intertrochanteric fractures in elderly patients treated with Dynamic Hip Screw(DHS).
Methods: This descriptive study was conducted in Orthopaedic Unit Pakistan Railway General Hospital Rawalpindi from 16th February 2016 and 16th February 2021.All elderly patients with stable intertrochanteric fractures(Evans type IA and Type IB) fulfilling the inclusion criteria were treated with DHS and functional outcome was evaluated at 6 months with Harris Hip Score(HHS) and results were graded as excellent(HHS score 90 to 100),good(HHS score 80 to 90), fair(HHS 70 to 80) and poor(HHS score <70).
Results: We operated 280 patients of intertrochanteric fractures with DHS. The mean age was 65.49±7 years. Male patients were 170(60.71%) and female 110(39.28%). Excellent outcome was documented in 151(53.92%), good in 90(32.14%),fair in 22(7.85%) and poor in 17(6.07%) with HHS score of 93.3±5,88.7±7, 77.3±4 and 33.1±9 respectively.
Conclusion: Elderly patients with stable intertrochanteric fractures treated with Dynamic Hip Screw(DHS) yielded excellent and good functional outcome in majority of our patients. We recommend DHS an implant of choice to treat stable intertrochanteric fractures in elderly patients.
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