Abstract

INTRODUCTION: Increased incidence of trochanteric fractures is a direct sequalae of ageing population. Treatment of trochantric fractures with internal fixation will have an added advantage of early mobilization and ambulation besides nursing care for fragile and supple individuals. The dynamic hip screw is one of the very simple, affordable device and surgically not a demanding procedure. The present study was undertaken to assess the utility of DHS as a useful method in the management of extracapsular fractures.MATERIALS AND METHODS: This is a prospective study undertaken to evaluate the effectiveness of dynamic hip screw fixation device in the management of extra capsular fracture neck of femur at ASRAM Medical College Hospital, Eluru during the periodbetween May 2008 and October 2010.Thirty patients with stable extracapsular fracture neck of femurtreated with dynamic hip screw fixation were selected for the present study.RESULTS: The final outcome was excellent in 16 patients, good in 10 patients, fair in 3 patients and poor in 1 patient.CONCLUSION: From this study we conclude that DHS is a good implant for the treatment of EVANS type -1 Extra capsular factures neck of femur. Because it enhances fracture stability and union with controlled collapse.

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