10 Tip-Apex Distance in DHS & IM Nail Fixations for Hip Fractures

Abstract Aim Dynamic hip screws (DHS) and intramedullary nail (IMN) fixations have been successful in treating extracapsular fractures. Tip to apex distance (TAD) is defined as the total sum of from tip lag screw femoral head on both AP lateral radiographs. Baumgartner et al. TAD<25 mm be predictive a result, with reduced rates metalwork failure. Therefore, this study aims assess if TAD principles are practiced during DHS IMN fixations. Method 102 patients were identified between December 2019 February 2020. The was measured radiographs calculate TAD. Patients followed up for 1 year where fractures either united or failed. Results recruited had age ranges 19–103 years old, which 36% male 64% female. 68% underwent while 32% IM nail. In group, 13 >25 mm, 28 20–25 18 15–20mm 6 <15 mm. For there 7 10 Conclusions There no nails that exceeded 25mm, but >25mm. 12/13 >25mm performed by trainees. We advocate emphasis principle re-enforcing orthopaedic trainees improve outcome neck femur