FUNCTIONAL OUTCOME IN PATIENTS WITH FIXATION OF INTERTROCHANTERIC FRACTURE WITH DYNAMIC HIP SCREW.

Main Article Content

Muhammad Alamgeer
Tauseef Ghaffar Baloch
Mir Behram Khan
Naseeb Ullah
Mohammad Asim Ashraf
Ulus Yar

Keywords

ntertrochanteric fracture, Dynamic Hip Screw, Clinical result, Orthopedic Surgery.

Abstract

Background: The type of fracture that occurs at the intertrochanteric region is commonly due to falls amongst the elderly population and this greatly affect their mobility and quality of life. These Bet fractures occur between the greater and lesser trochanters of femur and need surgical management. The DHS is a commonly accepted method for internal fixation used in today’s medical practice as a means of stabilizing the hip and enabling early mobilization. The objective of this study was to evaluate the functional status of DHS used to manage Intertrochanteric fractures.


Background: Intertrochanteric fractures are the most common fractures in older people: our aim was to assess the functional outcome of patients who underwent DHS fixation at BMCH Quetta and to assess post-operative recovery and overall functional recovery.


Study Design: A Prospective Study.


Place and duration of study: The study was carried out enrolling 100 participants who had intertrochanteric fractures and belonging to DHS group admitted to the Department of Orthopedics Surgery, Bolan Medical Complex Hospital, Quetta from 05-November 2023 till 05-April 2024.


Methods: Inter-trochanteric fractures: Caring for 100 patients with DHS implant fixation from November 2023 to April 2024. The HHS [40] and TUG test [41] were used as functional outcome tools at post-operative weeks 6 and 12 and at 6 months.


Results: Mean HHS changed from 55. 4 at 6 weeks to 85. 2 after 6 months. TUG test time also showed a notable reduction from 26. 4s at 6 weeks to 12. 8s at 6 months. complications included – 5% superficial infections, – 3% implant related – 2% arterial injury.


Conclusion: Intertrochanteric fractures managed by Dynamic Hip Screw Fixation: A retrospective study of 514 cases. Standardized postoperative care and early mobilization should take place. New studies using a greater number of participants and a longer period of observation are also advised.

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