To study the results of dynamic condylar screw DCS (Dynamic condylar screw) fixation for subtrochanteric femoral fractures.
Materials and Methods: This study included 34 males and 6 female patients with age ranging 21 to 80 years (mean48.85 year) who presented with closed subtrochanteric femur fractures. All the patients underwent fracture reduction on a standard orthopedic traction table under C-arm guidance and this was followed by fixation with dynamic condylar screw. Functional outcomes were assessed using the modified Harris hip score.
Results: The average time to weight bearing was 15 weeks. (Range 12-18 weeks). The mean time to union was 16.3 weeks. The complication included superficial infection, implant failure and limb length discrepancy. According to the modified Harris hip score, functional results were excellent in 50% of patients and good in 30% of patients, whereas two patients showed poor result. The mean Harris hip score was 84.
Conclusions: Our results of DCS fixation for Subtrochanteric femoral fractures indicated that it is a satisfactory method of fixation which gives favorable outcome. Minimal striping of the soft tissues and gentle fragmentary manipulation intra operatively is of paramount importance for good fracture healing and functional outcome.