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AN AUDIT OF FRACTURE UNION IN SUBTROCHANTERIC FEMORAL FRACTURES FIXED WITH DYNAMIC CONDYLAR SCREW SYSTEM

Dr. Syed Hahib Ullah, Dr. Abdul Munaf Saud, Dr. Mohammad Abid

Objective: To assess the fracture union rate in cases of subtrochanteric femoral fractures managed with dynamic condylar screw system. Material and methods: This cross sectional study was conducted at Department of Orthopedic Surgery, Dera Ghazi Khan Teaching Hospital, DG Khan from May 2018 to November 2018 over the period of 6 months. Total 113 patients with closed subtrochanteric fractures (within the 1 week of fracture) either male or female having age from 20-70 years were selected for the study. Cases were managed with DCS and union of fracture was assessed at 8th week. Results: This study consisted on 113 patients of subtrochanteric femoral fracture managed with dynamic condylar screw system. Union rate was assessed at 8th week. Mean age of the patients was 39.2 ± 14.93 years. Minimum age was 20 years and maximum age was 70 years. Out of 113 patients union was noted in 93 (82.3%) patients and non-union was seen in 20 (17.7%) patients. Conclusion: This study concluded excellent fracture union rate in cases of subtrochanteric femoral fracture managed with dynamic condylar screw system. Males were more prominent than females. Most of the patients were young with higher union rate. Type B fracture was the most common type of fracture. Key words: DCS (Dynamic condylar screw), DHS (Dynamic hip screw), Sub-trochanteric fracture, hip

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