Original Articles
Study of evaluation of functional outcome of subtrochanteric femur fracture treated with different surgical modalities | |
Dr. Ashok Bangarshettar, Dr. Balaji R, Dr. Sangamesh Kumar, Dr.Rakshith M | |
Background: This study is aimed to prospectively evaluate the clinical and functional outcomes of subtrochanteric fractures of femur treated with Long Proximal femoral nailing (PFN),Dynamic condylar screws(DCS)/Dynamic hip screws (DHS),Contralateral DFLP and to asses the complications associated with these procedures. Methods: 30 patients with subtrochanteric femur fracture were included in the study. Long PFN was done in 10 patients,DHS/DCS was done in 10 patients(5 DHS,5 DCS) 10 patients with direct Contralateral DFLP.Check X-rays were taken for evaluating Harris hip score. Results: Out of 10 patients treated with long PFN 7 had good recovery,1 had non-union, 1 had infection and 1 lost for follow up.Among 10 patients operated with contralateral DFLP 5 had good outcome, 2 had implant failure, 1 hadinfection,1 had varus collapse and 1 had lost to follow up. Among 10 patients operated with DHS/DCS7 had good outcome, 2 had implant failure, 1 had infection. Conclusions: Excellent to good results would be seen insubtrochanteric femur fractures, treated with a Long Proximal femoral nail than in Dynamic hip screws/dynamic condylar screwsor Contralateral DFLP. This definitely has effect on the speed of recovery, early mobilisation, lower incidence of infection and wound complications. |
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