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Indian Journal of Orthopaedics Surgery


Dynamic HIP screw vs proximal trochanteric contoured plate in proximal end fractures of femur


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Author Details: Kanwarjit Singh Sandhu, Girish Sahni, Avinash Chander Gupta, Vikas V Patel, Tajinder Bhalla

Volume : 2

Issue : 3

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 223

Article End Page : 230


Abstract

Purpose: To compare the outcome in patients who underwent surgery for proximal end femur fracture, intertrochanteric and Subtrochanteric, using dynamic hip screw vs proximal femoral locking plate.
Methods: 11 men and 19 women aged 19 to 82 (mean, 42) years were randomised to the proximal femoral locking plate group, whereas 16 men and 14 women aged 20 to 90 (mean, 47) years were randomised to the conventional 135º DHS group. Duration of surgery, total amount of blood loss, duration of hospital stay, mobilisation and weight bearing, radiological assessment, complications and Harris hip score were assessed at the end of 6 months.
Results: Respectively in the locking plate and DHS groups, the mean duration of surgery were 72.18 mins and 54.25 mins,(p=<0.001), mean blood loss was 283.75ml and 158.67 ml(p=<0.001), mean hospital stay was 13.75 days and 11.25 days, mean time for radiological union was 16.8 and 16.5 weeks, average harris hip score was 84.6 and 86.2. varus collapse and screw cut-out occurred in 1 case each  in DHS, abductor lurch occurred in 4 cases of PFLP.
Conclusion: DHS is the best implant for stable IT fractures but PFLP can also be a good alternative for unstable IT fracture, though it has longer operative time and more blood loss.

Keywords:
Proximal femoral locking plate, Dynamic hip screws, Proximal femur fractures
MESH words: Internal fixation, Proximal femur fracture, Extramedullary devices