Fractures of the proximal femur are one of the greatest challenges facing the medical community, constituting a heavy socioeconomic burden worldwide. Controversy exists regarding the optimal treatment for patients with unstable trochanteric proximal femoral fractures. The recognised treatment alternatives are extramedullary fixation usually with a sliding hip screw and intramedullary fixation w...

INTRODUCTION Sliding hip screw fixation is well established in the treatment of trochanteric fractures of the hip. The X-Bolt Dynamic Hip Plating System builds on the successful design features of the sliding hip screw but differs in the nature of the fixation in the femoral head. A randomised pilot study suggested that the X-bolt Dynamic Hip Plating System might provide similar health-related ...

DOI: 10.21276/sjams.2017.5.9.32 Abstract: Intertrochanteric fracture of femur is one of the most common fracture of the hip especially in elderly with osteoporotic bones, usually due to low energy trauma like simple falls. With rise in Osteoporosis and geriatric population the risk of getting intertrochanteric fracture is on rise. Rigid fixation with early mobilization of patients is the standa...

abstract traumatic hip dislocations are common in high-energy motor vehicle accidents. we present a case of a 43-year old man who sustained posterior hip dislocation with posterior wall acetabular fracture and ipsilateral intertrochantric fracture following a motorcycle accident. urgent open reduction and internal fixation of the hip fracture-dislocation and fixation of intertrochantric fractur...

OBJECTIVE To evaluate factors associated with revision of dynamic hip screw implant in patients undergoing the procedure for the fixation of intertrochanteric fractures. METHODS The retrospective study was conducted at the Aga Khan University Hospital, Karachi, and comprised records of patients who had undergone dynamic hip screw fixation surgery between 2008 and 2012. Medical records and dat...

Background: Hip fractures are a leading cause of death and disability among elderly. Approximately half of these injuries are intertrochanteric fractures and the incidence is continuously increasing. It is estimated that the incidence of intertrochanteric fractures will be doubled by the year 2040. Different types of implants were tried at different times for internal fixation of these fracture...

This study aimed to present the mechanical performance evaluation of the dynamic hip screw (DHS) for trochanteric fracture by means of finite element method. The analyses were performed based on stainless steel and titanium implant material definitions at various stages of bone healing and including implant removal. The assessment of the mechanical performance used two parameters, von Mises str...

Twenty four cases of fracture of the proximal femoral shaft treated with dynamic hip screw fixation are included. All had severe comminution with subtrochanteric extensions. Dynamic hip screw provided stable osteosynthesis and helped to achieve bone union within 18 weeks in 19 of 21 followed-up cases. The anatomical configuration of the femur was maintained with minimal limb length discrepancy ...