UNSTABLE INTER-TROCHANTERIC FRACTURES OF PROXIMAL FEMUR

EFFECT OF DIFFERENT POSITIONS OF REDUCTION & INTERNAL FIXATION WITH DYNAMIC HIP SCREW ON HIP SCORE (LARSSON'S) & RESUMPTION OF DAILY ACTIVITIES

Abstract

A randomized prospective study of Sixty patients having unstable intertrochanteric fractures of proximal femur fixed with Dynamic Hip Screw in four different reduction configurations, In-situ fixation, Anatomical reduction, Medial displacement valgifying Osteotomies (Dimon & Houghston and Sarmiento's Osteotomies) at following hospitals Lahore General Hospital, Lahore, Nishtar Hospital Multan and Rawalpindi General Hospital, Rawalpindi during 1990-to-1994. Effect of early mobilization on hip score and attaining routine normal daily activities by the patients were studied. There were no non-unions, no cutting out of the implant or mechanical failures. Seventy five percent of the patients regained normal pre-fracture activities after 30 weeks. Majority of the patients scored 87 points on Hip Score evaluation. Conclusion, In-Situ fixation gives satisfactory results in management of unstable intertrochanteric fractures of proximal femur.