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A STUDY TO EVALUATE UNION RATE IN SUBTROCHANTERIC FEMORAL FRACTURES THAT WERE TREATED BY DCS FIXATION

Dr Sumiya bhatti, Dr Marrium Anwer, Dr Roshan Abdul Latif

Objective: Aspire of our study is to appraise union rate in management of subtrochanteric femoral fractures that were dealt by dynamic condylar screw (DCS) fixation. Venue and Duration of Study: Study was performed in Orthopedic Department, Services Hospital, Lahore and completed in the period of 8 months from April, 2018 to November, 2018. Method and Material: Study was cross sectional in nature and comprised on 111 cases presented with closed subtrochanteric femoral fractures including 70men and 41 women patients with age of 21 to 80 years (Mean 41.92 year). The fracture union rate was evaluated on 8th week. Analysis of data was made by using the SPSS-18. Dynamic condylar screw fixation was done after when the patients experienced traction table reduction. Results: After assessing the union rate on the 8th week, among from the 111 studied cases, union was recorded in 91(81.98%) cases and non-union was noted in 20(18.02%) cases. With respect to the types of fractures, the union was found in 6 (5.41%) patients, 53 (47.75%) patients and 32(28.83%) patients respectively in type-A, type-B and type-C fracture. Conclusion: The outcomes of our study to evaluate the union rate after dynamic condylar screw DCS fixation for the cases of subtrochanteric femoral fracture showed that DCS fixation was an excellent method with remarkable union rate. Majority of the patients were belonging to the type-B fracture. For good fracture healing and functional outcome, men were more important than women. Especially the patients of younger age had the high union rate of fracture. Key words: Dynamic condylar screw, Subtrochanteric femoral fracture, Union rate.

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