Abstract: Background and Objectives: Trochanteric fracture is a leading cause of hospital admissions in elderly people. The number of such admissions is a rise because of increasing life span & sedentary habits. Conservative methods of treatment result in malunion with shortening and limitation of hip movement as well as complications of prolonged immobilization like bed sores DVT and respiratory infections. This study is done to analyze the surgical management and traumatic fractures using Dynamic Hip screw.
Methods: This is a prospective study of 20 cases of fresh trochanteric fractures admitted to Tertiary care Hospital, Surat, from November 2016 to February 2018. Cases were taken according to inclusion and exclusion criteria i.e., patients with trochanteric fracture above the age of 18yrs. Medically unsuitable and old malunited trochanteric fractures were excluded from the study. Operation was done keeping the Tip Apex Distance (TAD) into consideration.
Results: The study shows sex ratio of 7:3 (M:F) with maximum presentation between 66 to 80yrs with an average of 63 yrs. Mode of injury was more due to fall, 11(55%); followed by RTA, 9(45%). Left side was slightly more than right side. L: R = 11:9. 30% of patients had associated injury. Type II fractures were maximum with 11 cases followed by 9 cases Type I&II. Post-operative results were found to be excellent in 3(15%), Good in 10(50%), Fair in 6(30%) and poor in 1(5%).
Conclusion and Interpretation: This study shows that trochanteric fracture is common in elderly population with male preponderance mainly occurring between 66 to 80yrs. Common mode of injury being trivial fall, Left side being slightly more involved in injury. Early operative intervention with Dynamic hip screw with 1350 side plate with barrel gives good results, helps early mobilization of elderly patients decreasing morbidity & mortality and achieves rigid fixation even in osteoporotic bone. From our study we concluded that DHS still is implant of choice by many surgeons and have stood against test of time. Results are similar to past studies.
