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TRAUMATOLOGY
Year : 2006  |  Volume : 40  |  Issue : 2  |  Page : 100-102

Management of trochanteric fractures


Department of Orthopedics, RIMS, IMPHAL, India

Correspondence Address:
Arun Kumar Singh
Singjamei Mathak Chongtham Leikai, Imphal 795001, Manipur
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5413.34450

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Background : Trochanteric fractures unite invariably with conservative treatment. However the high rate of complications associated with this method makes stable reduction and rigid internal fixation the treatment of choice. Methods : Eighty fresh trochanteric fractures were subjected to internal fixation, 50 with the DHS and 30 with the DCS. Indirect reduction or open reduction with internal fixation using prophylactic antibiotics was done. Patients were followed up clinico-rediologically for 2 years. Results : Satisfactory fixation was achieved in 93.3% of the DCS group and 92% of the DHS group. Union was seen at 12 weeks and 16 weeks depending on the quality of reduction and fixation. Technical problems and complications were slightly higher in the DHS group. Conclusion : Although there were no significant difference in the number of good reductions and the time to bony union between the 2 groups, as regards handling and complication, the DCS was found a more versatile implant compared to the DHS.


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