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TO DETERMINE THE RESULTS OF DYNAMIC HIP SCREW FIXATION IN TERMS OF FUNCTIONALITY AFTER INTERTROCHANTERIC FRACTURES

Dr Imtiaz Ahmad, Dr Basit Hussain, Dr Nadeem ur Rehman

Aim: The aim of this study was to determine the functional results of intertrochanteric fracture managed with dynamic hip screw by noticing union time, infection rate, range of hip movement and limb shortening. Methods: A prospective study was performed in thirty femoral intertrochanteric fractures cases. Using a dynamic hip screw, all these cases were treated. Place and Duration: In the Orthopedics Department, Khyber Teaching, Hospital, MTI, Peshawar for one year duration from March 2018 to March 2019. Results: 68.17 ± 12.49 years was the average range. The injuries occurred more often in 17 (57%) men than in 13 (43%) women. It was found that the injury mechanism mostly was a fall in 17 patients (56.7%) and other cause responsible in 13 (43.3%) was road accidents. All patients were hospitalized six hours later and not a single patient received proper management within 6 hours after the injury. The associated injuries occurred in five patients (16.7%). In (60%) of cases right limb was convoluted and in the left limb (40%). In 2 (6.66%) of cases, superficial infection was noted within two weeks. At the end of the six weeks, all patients have a clean wound. None of our patients had a deep infection. 1 patient (3%) only had limb shortening greater than 2 cm, while 29 patients (97%) had limb shortening less than 2 cm. 96.7% of patients achieved full load bearing ability after 24 weeks. At the end of our study, many of our patients (96.7%) received hip flexion / extension at 121 °. ± 8.8o and 9.33 ± 2.5, internal and external rotation 30.5 ± 7.1 and 30.2 ± 6.9and adduction / abduction 31.8o ± 6.5o and 26.8o ± 5.6o. Overall outcome was good. Keywords: Dynamic hip screw, Intertrochanteric femoral fracture.

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