Abstract

BACKGROUND: The following prospective consecutive case series was done to evaluate indications, technical pearls and functional outcomes of minimally invasive sliding hip screw in the fixation of stable intertrochanteric fractures of femur. These fractures carry risks associated with prolonged immobilization for which, early fracture fixation and early ambulation of the patient is necessary. Sliding hip screw remains the most common method for the treatment of stable intertrochanteric fractures of femur. METHODS: A total of 80 patients (48 males, 32 females) with stable intertrochanteric fractures of femur were treated with minimally invasive sliding hip screw technique. Average age of the patients was 73 year. Average blood loss during surgery, reduction of postoperative haemoglobin, requirement of post-operative analgesics and total days of postoperative hospital stay were studied. RESULTS: Length of incision, operation time, blood loss and duration of hospital stay were significantly less. Mean operating time was 50 minutes. Mean intra-operative blood loss was 53 ml. Mean reduction of postoperative haemoglobin was 0.9 gm/dl. Average wound size was of 5 cm. The average follow-up was 17 months. The average postoperative analgesic requirement was twice daily for 5 days. Mean hospital stay after surgery was 5 days. CONCLUSION: Minimally invasive sliding hip screw is a novel and advantageous technique that can be used comfortably for the treatment of stable intertrochanteric fractures of femur, thus providing rigid fracture fixation and early mobilization of the patients. Thus, the judicial use of this technique significantly reduces the amount of blood loss, soft tissue dissection, requirement of post-operative analgesics and also the length of stay in the hospital.

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