Muhammad Khalid, Imtiaz Hashmi, Muhammad Sohail Rafi.
The outcome of dynamic hip screw fixation in intertrochanteric femur fractures.
Pak J Surg Nov ;31(1):40-4.

Objective: To study the outcome of intertrochanteric femur fracture treated with dynamic hip screw (DHS). Study design: A prospective cohort study. Place and duration of study: Th is study was carried at the department of Orthopaedic Ziauddin university hospital , Karachi, during June 2013 to May 2014. Material and methods: Total 60 consecutive patients with intertrochanteric fracture were studied. Th e outcome of intertrochanteric femur fracture fi xed with dynamic hip screw was assess by time of union, rate of infection, range of hip motion & limb shortening. Clinical and radiographic assessments were conducted at second, six, twelve, and eighteen weeks aft er surgery and at 6months. Results: Most of the case were old age with a mean age of 68 yrs. Injury was more common in males 34(57%) than females 26(43%). Only two (3%) patient had more than 2cm limb shortening while 58(97%) had less than and equal to 2 cm limb shortening. At the end of our study most of our patient’s (96.7%) achieved good range of movement at hip joint. Six months postoperatively all fractures united. Conclusion: It was concluded that the patients who were treated with the technical optimization of the DHS application achieved a close-to-normal anatomy following surgery and maintained this state throughout the follow-up period.

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