Background: Intertrochanteric fractures is the most commonly treated fractures by orthopaedic surgeon. Many techniques are described in literature but internal fixation with Dynamic Hip screw is most efficient method.
Aim: The present study is conducted compare the results of conservative methods and internal fixation with dynamic hip screw in management of intertrochanteric fractures of the femur.
Materials and methods: This study includes 40 patients of intertrochanteric fractures of the femur, out of which 30 patients were treated by conservative methods considered as Group I and 10 patients were treated by internal fixation with Dynamic hip Screw (DHS) considered as Group II. All the results were evaluated by using Kyle’s criteria.
Results:
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Patients who were non ambulatory prior to fracture.
2. Patients with severe anaemia.
3. Poor cardiovascular and pulmonary status.
4. Osteoporotic patients.
For internal fixation with Dynamic Hip Screw.
1. Patients who were ambulatory prior to fracture.
2. Patients who were in stable medical condition to tolerate the stress of surgery and anaesthesia.
All patients were subjected to take detailed clinical history, examination of the injured hip, assessment of neuro vascular status of limb associated with injury, radiological examination of hip.
Implants used: DHS lag screw, Compression Screw, 1350 DHS Barral Plate, 4.5mm cortical screws.
Evaluation of the results: The results will be evaluated and graded as excellent, good and poor as per criteria of Kyle (1979).
(a) Excellent : No pain, minimum limp, normal range of motion, can walk without support, can squat and sit cross legged, no shortening
(b) Good: occasional mild pain, noticeable limp, acceptable range of motion, can walk with the help of cane. Can squat and sit cross-legged shortening less than two cm.
(c) Poor: moderate pain, marked limp, limited range of motion, can’t walk, can’t squat and sit cross-legged, shortening more than two