Malik Mohammad Yasin Awan, Mohammad Amjad, Abdullah Shah, Ijaz Ahmed, Muhammad Nauman Shad, Ajaz Fatima.
To study the Effectiveness and Safety of DHS Fixation for Intertrochanteric Fractures.
Pak J Med Health Sci Jan ;13(2):342-5.

Background: One of the leading causes of death and disability among the elderly are hip fractures. Approximately half of these injuries are intertrochanteric fractures and the incidence is continuously increasing. Different types of implants were tried at different times for internal fixation of these fractures, of which dynamic hip screw has remained the most popular one. But with the advent of some newer implants, the efficacy of dynamic hip screw is being questioned. Aim : To determine the failure after DHS fixation of intertrochanteric fracture and identify causes (instability, increased tip apex distance and high angle side plate) leading to failure after DHS fixation. Methods: This was a descriptive interventional case study. Forty five cases fulfilling the inclusion criteria were included after taking informed consent. There were 32 males and 13 females with male to female ratio of 2.5:1. They were operated under standard surgical protocol for DHS by senior residents. Pre, per and post-operative findings during hospital stay and follow-up were recorded. Results: The mean+/-SD between the ages was 71.91+/- 10.40 years. The lag screw size was 85 mm and 90 mm in 12 and 33 patients respectively . Conclusion: DHS showed satisfactory results with fewer complications.

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