Dimon hughston osteotomy for unstable intertrochanteric fractures done on ordinary operation theatre table using newly developed imaging technique

Abstract

Background: Intertrochanteric fracture make up 45% of all hip fractures. Trochanteric fractures almost invariably occur as a result of fall, involving both direct and indirect forces. Dimon Hughson Osteotomy procedure have a role in the management of unstable intertrochanteric fractures. Method: In the present study of 40 patients of unstable intertrochanteric fractures, 20 were operated in standard technique and 20 in modified technique. The data was assessed, analyzed, evaluated and following conclusions were made. Results: Intertrochanteric fractures common between 50-78 years. In young patients it was due to high velocity trauma. Fall from height being the common mechanism of injury. Slip and fall was common mechanism in elderly. It was more common in females due to post-menopausal osteoporosis. Associated injuries were more common in high velocity trauma. Early reduction and internal fixation increases patients comfort, facilitates nursing care, helps in early mobilization of patients and decreases hospital stay. Early mobilization can be begun in all the cases of Dimon Hughston osteotomy based on the pain bearing capacity with the help of a walker. In both the techniques complications can be avoided with proper patient selection and good preoperative planning, appropriate implant selection, good surgical technique, pre and post-operative physiotherapy and regular follow up. Conclusion: Dimon Hughston osteotomy is a viable option in unstable fractures with technical expertise. Can be performed on ordinary operation theatre table with comparative results.