Locked Dynamic Hip Screw Plate for Osteoporotic Patients with Intertrochanteric Femur Fracture

Abstract

Background:Hip fractures are a leading cause of disability among the elderly. Treatment goals for this patient population include early mobilization with restoration of the anatomic alignment of the proximal part of the femur and maintenance of the fracture reduction.The aim of this study was efficient treatment of inter trochanteric femoral fracture in elderly patients.Patients and Methods: This study was a non-randomized clinical trial include eighteen patients with intertrochanteric femoral fracture fixed with locked dynamic hip screw plate, they came to orthopedic department in Zagazig university hospital and orthopedic department in Tripoli central hospital over 6 months from July 2020 until September 2020. Patients with sub-trochanteric extension were excluded. There was 10 cases group A1 and eight cases group A2 according to AO Orthopedic Trauma Association (OTA). Results: Clinical and radiological outcome assessments were 77.8% were excellent clinically, 11.1% were good and 11.1% were fair while regard radiological, 83.3% were excellent, 11.1% were good and 5.6% were fair. As regard complications 4 cases had groin pain and 1 case had lag screw cut-out and overall complication was in 22.2%. Conclusion: Locking DHS plate for trochanteric femur fractures is a good option in elderly patients.