Outcome of Intertrochanteric Fractures in Elderly Patients treated with Dynamic Hip Screw.

Authors

  • Kamran Asghar Assistant Professor Department of Orthopaedics Fauji Foundation Hospital Rawalpindi
  • Raja Adnan Ashraf Department of Orthopaedics, Fauji Foundation Hospital Rawalpindi
  • Hamza Fareed Assistant Professor Department of Orthopaedics Fauji Foundation Hospital Rawalpindi
  • Noman Maqbool Professor Department of Orthopaedics, Fauji Foundation Hospital Rawalpindi
  • Mohammad Salim Professor/Head Department of Orthopaedics Fauji Foundation Hospital Rawalpindi

Keywords:

Dynamic Hip Screw, Harris Hip Score, Intertrochanteric.

Abstract

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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Published

2022-03-09

How to Cite

Kamran Asghar, Raja Adnan Ashraf, Hamza Fareed, Noman Maqbool, & Mohammad Salim. (2022). Outcome of Intertrochanteric Fractures in Elderly Patients treated with Dynamic Hip Screw. Journal of Pakistan Orthopaedic Association, 34(01), 12–15. Retrieved from http://jpoa.org.pk/index.php/upload/article/view/615