Dynamic condylar screw functional outcome in the treatment of unstable proximal femoral fractures in adult patients

Abstract

Objective: The purpose of this study was to assess the functional outcome of dynamic condylar screw (DCS) fixation in the treatment of unstable proximal femoral fractures in adults. Study Place and Duration: This descriptive study was done from March 2021 to November 2022 at MTI Lady Reading Hospital Peshawar. Methods: A descriptive study, employing dynamic condylar screws to treat proximal femur fractures in all adult patients who met the inclusion criteria, was utilized in this in-depth examination (DCS). The Harris Hip Score was used to determine post-surgery mobility. Results: The average age of patients was 63 having standard deviation of 14. Fracture union took 14.3 +/- 3.8 weeks on the average. At 24 months, the typical HHS was 85.2 +/-12.3, and 78.1% of patients reported adequate or outstanding functional performance. Nonunion, malunion, or hardware failure occurred in 13.3% of patients. Complications were unaffected by age, gender, or fracture type. Conclusion: Dynamic condylar screw therapy has demonstrated promising functional and radiological benefits with few adverse effects in people with unstable proximal femoral fractures. DCS fixation, an efficient treatment for such fractures, is one of the best treatment for such fractures.