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Year : 2000  |  Volume : 34  |  Issue : 3  |  Page : 153-155

Dynamic HIP Screw And Sliding Plate For Trochanteric Fractures Of Femur - Review

Correspondence Address:
N. D Chatterjee

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Source of Support: None, Conflict of Interest: None

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March, 1993 onwards, we have been using Dynamic hip screw and sliding plate device for fixation of trochanteric fractures. First 44 cases are reported here. Trochanteric fractures usually occurred between age group of 28 to 84 years (Mean 62.45). Out of 44 cases, there were 20 stable and 24 unstable fractures. Follow up period varied from 26 to 70 (average being 50.80) months. At final follow up, only 38 patients (18 stable & 20 unstable) attended at follow up clinic. Out of other six cases, one died. Sixteen out of 18 stable trochanteric fractures (88.89 percent) achieved excellent and two (11.11 percent) good results whereas in 20 unstable trochanteric fractures, 8 (40 percent) showed excellent, 6(30 percent) good, 2 fair (10 percent) and four (20 percent) poor results. Several complications were encountered such as superficial infections in 4, transient sciatic nerve palsy in one, pedal oedema (mild) in majority, shortening 1-3cm, Coxa Vara in 3, due to cutting of implants through head and neck of femur (2 partial & one complete), proximal migration of DHS with avascular changes of femoral head in one case only.

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