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Attiq-ur-Rehman1, Karim Bakhsh1 and Muhammad Ishaq2

ABSTRACT

Objective: To examine the outcomes of dynamic hip screw fixation in patients presented with intertrochanteric femur fractures.

Study Design: Retrospective study.

Place and Duration of Study: This study was conducted at the Department of Orthopedic, Bolan Medical College Hospital, Quetta from January 2019 to March 2020.

Materials and Methods: Thirty patients of both genders with ages 20 to 70 years presented with intertochanteric femur fractures were enrolled. Patients demographic including age, sex and side of fracture were recorded. All patients received dynamic hip screw placement under general anesthesia. Radiological assessment was done. Follow-up was taken at 12weeks and 24 weeks postoperatively. Functional outcomes were assessed by Harris Hip Scoring (HHS) system. Post-operative wound infection, union of bone, range of hip motion, shortening of limb was examined. Patient’s satisfaction was recorded at final follow-up.

Results: Eighteen (60%) were males and 12 (40%) were females. 5 (16.67%) patients were ages 20 to 40 years, 14 (46.67%) patients were ages 41 to 60 years and 11 (36.67%) patients had ages above 60 years. 1 (3.33%) patients had limb shortening more than 2cm. Wound infection found in 2 (6.67%) patients. There was 1 (3.33%) patient with non-union. 22 (73.33%) patients had excellent, 4 (13.33%) patients had good, 2 (6.67%) patients had fair and no patient with poor outcome by HHS. 21 (%) patients were very satisfied.

Conclusion: Dynamic hip screw placement for intertrochanteric femur fractures is better and very effective treatment modality with fewer rate of complications.

Key Words: Intertrochanteric Femur Fracture, Dynamic Hip Screw, Functional Outcomes.

Citation of article: Rehman A, Bakhsh K, Ishaq M. Examine the Outcomes of Dynamic Hip Screw Fixation in Patients with Intertrochanteric Femur Fractures. Med Forum 2020;31(9):107-110.