Title: Retrospective Analysis of Functional Outcome of Patients Treated with DHS Fixation and Bipolar Hemiarthroplasty in Unstable Intertrochanteric Femur Fractures
Authors: Dr Shyam Thakkar M.S. Ortho, Dr Prashant Gedam M.S. Ortho
DOI: https://dx.doi.org/10.18535/jmscr/v5i6.38
Abstract
Purpose: To compare functional outcome between DHS fixation and bipolar hemiarthroplasty in patients with unstable intertrochanteric fractures.
Methods: A retrospective clinical study in which patients who were admitted and operated at Charitable Hospital, Mumbai from July 2012 to July 2014 and were followed up regularly at intervals post surgery with clinical and radiological assessment. The data which was maintained in case record register was analyzed in terms of operative time, post operative recovery (weight bearing, pain etc), harris hip score, complications of bipolar hemiarthroplasty as compared with Dynamic Hip Screw (DHS) fixation.
Results: Post operative mobilization was significantly better (p = 0.003) in hemiarthroplasty patients as compared to fixation. Early and late post operative Harris Hip Score was significantly better (p = 0.02) in arthroplasty group of patients. Post operative complications were significantly higher in patients treated with fixation (p = 0.02) than with hemiarthroplasty. The mean operative time was significantly less (p = 0.001) in patients treated with hemiarthroplasty.
Conclusion: we conclude that hemiarthroplasty may be a better option in patients with unstable intertrochanteric fractures as compared to DHS fixation
Keywords: Dynamic Hip Screw; hemiarthroplasty; intertrochanteric femur fracture: Haris Hip Score.
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