We treated 108 patients with a pertrochanteric femoral fracture using either the dynamic hip screw or the proximal femoral nail in this prospective, randomised series. We compared walking ability before fracture, intra-operative variables and return to their residence. Patients treated with the proximal femoral nail (n = 42) had regained their pre-operative walking ability significantly (p = 0....

abstract we report a 71 year-old patient with intertrochanteric fracture who had been managed with dhs and her healed fracture complicated by a subcapital femoral neck fracture. a subcapital femoral neck fracture complicating a healed intertrochanteric fracture is rare but catastrophic event. such cases are managed in a hetereogenous manner, i.e. there exists a mixture of cases treated by eithe...

Numerous internal fixation devices have been used to stabilize intertrochanteric fracturesWe have analyzed the results of the intertrochanteric fractures treated with dynamic hip screw fixation. 33 patients (13 males, 20 females) were included. Range of age was 50-90 years, right side involved in 21 cases whereas left side in 12 cases and classified according to Boyd and griffin classification ...

OBJECTIVES To establish a laboratory model of implant cutout, which can evaluate the effect of implant design on cutout resistance in a clinically realistic "worst case" scenario. SETTING Orthopaedic biomechanics laboratory. DESIGN Implant cutout was simulated in an unstable pertrochanteric fracture model, which accounted for dynamic loading, osteoporotic bone, and a defined implant offset....

Dynamic hip screw fixation is a common orthopaedic procedure and to date, still can cause difficulties to the senior trauma surgeon. We present a case where an extra-capsular fracture of the proximal femur was managed with a dynamic hip screw (DHS) fixation. She proceeded to the operating theatre, where the fracture was stabilized with a 75-mm DHS and short-barrelled plate. The implant position...

OBJECTIVE To compare minimally invasive dynamic hip screw (MIDHS) fixation with conventional dynamic hip screw (CDHS) fixation for treatment of intertrochanteric femoral fracture. METHODS Of the 66 participants in this double-blind study, 35 were randomised to MIDHS and 31 to CDHS fixation. Main outcome measurements were wound size, haemoglobin decrease, blood transfusion rate, pain score, an...