Syed Shahid Noor, Niaz Hussain, Muhammad Tariq Karim, Imran Gabol.
Outcome of dynamic hip screw in patients with intertrochanteric femur fracture.
J Pak Orthop Assoc Jan ;23(1):40-3.

Objective: To determine the outcome of intertrochanteric femur fractures fixed with dynamic hip screw (DHS) in terms of rate of union, infection and range of hip motion. Study Design: Case series Place and Duration of Study: Orthopaedic Department, Liaquat National Hospital, Karachi from April to October 2009. Subjectl and Method: Skeletally mature patients with closed intertrochanteric femur fractures were enrolled in the study. The fractures were fixed with DHS and outcome was observed at the end of 24th week postoperatively in terms of rate of union, infection and hip range of motion. Results :Mean age of 30 patients were 63.17±12.49 and there were 16(53.3%) males and 14(46.7%) females. 3(10%) patient had superficial infection and one (3.3%) had deep infection at 2nd week postoperatively. These patient's infected wounds gradually healed and there were no infection at 6th week and in subsequent follow ups. The mean range of motion of flexion was 120±1.8 and that of extension was 10±1.0. Internal rotation and external rotation in extension was observed 30.5±7.1 and 30.2±6.9. Union was achieved in 30(100%) patients. Overall results were good. Conclusion: This study revealed that Dynamic hip screw is a modality of choice in patients.

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