Outcome analysis of various modalities of fixation for extracapsular hip fractures in eldelrly
Abstract
Introduction: Fracture distal to the capsular attachment, that is pertrochanter area of hip called as a extracapsular hip fracture. Fracture of the proximal femur are a big challenge in traumatology. Over the past 50 years a wide variety of implants and fixation strategies have been utilized for this type of fractures. Dynamic hip screw is gold standard, proximal femoral nail longer version and proximal femoral locking compression plate is new weapon in the orthopaedic surgeons armamentarium for fixation of this challenging fractures.
Aim of Study: This study is undertaken to assess the various modalities of surgical stabilization of extracapsular hip fractures in elderly and their clinical outcome in our institute.
Material and Methods : This is a prospective study from august 2013 to September 2014. The study included 98 patients (mean age 76 years) who underwent various modalities of surgical stabilization for extracapsular hip fractures in elderly. Out of 98 patients 32 underwent Dynamic Hip Screw fixation, 38 underwent Proximal Femoral Nailing, 12 underwent Proximal Femoral Locking Compression Plating and 16 patients underwent Dynamic Condylar Screw fixation. Final clinical outcome was made using the kyle's criteria.
Results: This study evaluated implant cost, familiarity of surgeon with procedure, surgical exposure, operation time, blood loss and blood transfusion, wound complication, reoperation and mortality in every group. Group II (PFN) found better results by comparing.
Conclusion : Optimal reduction of the fracture and positioning of the nail and screw, plate and screw remains the crucial importance and should be obtained in all times. We have concluded that group II (PFN) was good and effective to treat these extracapsular fractures in elderly with highest clinical outcome.
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