Abstract: Introduction: Trochanteric fractures of femur has significant structural, clinical, anatomical and biochemical characteristics that distinguish them from intracapsular fractures. In past few decades, the treatment for intertrochanteric fractures has gained tremendous changes. The dynamic hip screw (DHS) development created a revolution in the management of unstable fractures of femur.
Aims: To study the effectiveness of Dynamic HIP Screw in surgical management of Trochanteric fractures, to evaluate functional and anatomical outcome.
Materials and Methods: The study consisted of 25 cases of Trochanteric Fractures treated surgically with Dynamic Hip Screw during the period of one and half years. The operative procedure which is commonly done for Trochanteric Fracture is Dynamic Hip Screw fixation the results were recorded and discussed. The average follow up period was for 6.64 months varying from 5 months to 1 ½ years.
Results: Forty percent (10 patients) were less than 50 years age. Males outnumbered the females (19:6). Right-sided fractures outnumbered the left-sided (14:11). Fourteen out of twenty five patients were associated with severe violence. The younger age group patients were most often associated with severe violence (90%). The older age group patients were associated with trivial trauma (33%). Four out of the twenty-five patients (16%) were associated with other fractures. Type-I fracture had an excellent or a good result. 89% of Type-II fractures had an excellent or good result. 50% of Type-III and 57% of Type-IV fractures had a good result.
Conclusions: Patients treated with this device have recovered early with painless hip movements, Hence Dynamic Hip Screw is an ideal implant for surgical management of Trochanteric Fractures.
