Functional outcome of Subtrochanteric Fractures of femur fixed with Dynamic Condylar Screw (DCS).

  • Masroor Ahmed United Medical and Dental College.
  • Ghulam Hussain Hamdard University and KVSS Site Hospital Karachi.
  • Mukesh Kumar united medical n dental college
  • Nida - Fatima Memorial College of Dentistry Lahore.
  • Rukhsana Hamid Jinnah post graduate and medical center.
Keywords: Dynamic Condylar Screw (DCS), Functional Outcome, Subtrochanteric Femur Fracture (STFF)

Abstract

Objectives: To determine functional outcome of Subtrochanteric femur fractures fixed with dynamic condylar screw. Study Design: Single group quasi experimental study. Setting: Orthopedic Surgery, creek general hospital, united medical and dental college and KVSS SITE hospital Karachi. Period: 15th February 2015 to 30th November 2016. Material & Methods: All the patients with Type 32A (A1, A2 and A3) subtrochanteric fractures of femur presenting within two weeks of injury were included in the study. Functional outcome was assessed by modified Schatzker and Lambert Criteria. Results: 79 patients with closed subtrochanteric fractures were included in study. The mean age of the patients was 41.2±12.98 years, mean duration of fracture was 4.58±1.25 days. Male to female ratio was 2.04 to 1, 42(53.16%) were injured in road traffic accident and 37(46.84%) were due to fall, right side were effected in 40.51% cases and left side effected in 59.49% cases. Acceptable functional outcome achieved in 82.28% (65/79) of cases. Conclusion: We conclude that open reduction and internal fixation are the best procedure to treat difficult fractures like subtrochanteric fractures and to avoid complications like implant failure, nonunion, and mal-union. In our study we attained satisfactory results by the use of dynamic condylar screw in patients with subtrochanteric fracture of femur.

Author Biographies

Masroor Ahmed, United Medical and Dental College.

MBBS, MRCS, FCPS

Assistant Professor

Ghulam Hussain, Hamdard University and KVSS Site Hospital Karachi.

MBBS, FCPS

Assistant Professor

 

Mukesh Kumar, united medical n dental college

MBBS, MRCS, FCPS

Consultant Orthopedic Surgeon

Nida -, Fatima Memorial College of Dentistry Lahore.

MBBS, M.Phil

Assistant Professor of Physiology

 

Rukhsana Hamid, Jinnah post graduate and medical center.

MBBS, MRCS, FCPS

Consultant General Surgeon

 

Published
2020-02-10