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العنوان
Analysis of Failure of Dynamic Hip Screw Fixation in the Management of Intertrochanteric Fractures in Elderly /
المؤلف
Rashad, Ashraf Mahdy Mohamed.
هيئة الاعداد
باحث / اشرف مهدى محمد رشاد
مشرف / مصطفى حسين حجازى
مشرف / اسامة عبد الوهاب سليم
مشرف / على محمود عمران
الموضوع
Orthopedics.
تاريخ النشر
2017.
عدد الصفحات
146 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة العظام والطب الرياضي
تاريخ الإجازة
16/8/2017
مكان الإجازة
جامعة طنطا - كلية الطب - Orthopedics
الفهرس
Only 14 pages are availabe for public view

from 186

from 186

Abstract

Summary and Conclusion Fifty cases were treated by Dynamic Hip Screw, including (37) females and (13) males, whose age ranged from 60 to 75 years with a mean of 67 years. The most frequent modes of trauma were simple fall on a side and a fall at home. These fractures were in the right side in 29 cases and in the left side in 21 cases. Follow up after 6 months. The average time to surgical interference was 5 days. All patients were clinically assessed according to the Harris hip scoring system. The final results were excellent in 26%, good in 42%, fair in 28% and poor in 4%. Poor results occurred in 2 cases. Radiologic assessment include solid union, nonunion, delayed union and mal-union, failure of fixation and implant failure. There were only 2 cases of delayed union and one un-united case, solid union may be accepted and may not be accepted solid union occurred in 47 cases (94%), so solid union accepted in 28 cases and not accepted (Mal-union) in 19 cases. At final follow up. Shortening occurred in 2 cases, varus deformity occurred in one cases with trendlenberg gate and LLD less than 3 cm and valgus mal-union occurred in 18 cases resulting in lengthening and limping. Failure of fixation occurred in 3 cases with implant failures. Changes of proximal femur morphology after fixation were evaluated by measuring the proximal femur parameters (FAL,FNL,FNW,NSA >PSD) by radiographs of both hips by AP view in the DHS sides and the contralateral sides and compared the result and found no clinical significance, measurement was 10.