A study of the functional outcome of intertrochanteric fractures treated with dynamic HIP screw

Abstract

Background: Fractures of proximal femur are amongst the most often encountered fractures by orthopaedic surgeons. Many treatment techniques are described in literature but internal fixation with Dynamic Hip Screw is the treatment of choice for elderly. This study analyzes the outcome of treatment of intertrochanteric fracture with Dynamic Hip Screw in elderly people.Materials and Methods: Between October 1st 2015 and July 31st 2017, 32 patients with intertrochanteric fracture who got admitted in Yenepoya Medical College Hospital, Deralakatte, Mangalore, in the department of Orthopaedics were subjected to internal fixation with Dynamic Hip Screw and the results were evaluated.Results: Average age incidence in the present study was 67.4 years. Male female ratio was almost equal 53:47. The most common mode of injury was after a slip and fall, followed by road traffic accidents. Boyd and Griffins type 2 were more common accounting for 68.8%. The functional outcomes of 32 patients were evaluated using Kyles criteria at their last follow-up: 8 cases (25%) had excellent, 12 cases (37.5%) good, 7 cases (21.9%) fair and 5 cases (15.6%) poor.Conclusion: Internal fixation with Dynamic Hip Screw is the treatment of choice for treatment of stable intertrochanteric fractures in elderly people.