Abstract
Hip fractures are devastating injuries that most commonly affect the elderly and have tremendous impact on both the health care system and society in general. Despite marked improvements in implant design, surgical technique and patient care, hip fractures continue to consume a potential proportion of our health care resources. In our study of 20 cases (male 16: female 4), age group (21-80 years), trochanteric fractures were treated using Dynamic hip screw at Government District Hospital and Basaveshwar Teaching and General Hospital, Gulbarga, India from March 2002 to August 2004. In the study, trochanteric fractures were common in old age group as a result of slip or fall with right sided predominance in the present study, particular gender was predominantly affected (80% were males). Trochanteric fractures were common in elderly population following trivial trauma such as slip or fall. Keywords: Trochanteric, Intracapsular, Fractures.
Highlights
Trochanteric fractures are sustained by elderly from trivial strain such as slipping on stairs, or stumbling in the toilet, but they may occur at any age in patient of either sex
The present study is based on the observations and results of 20 patients of intetrochanteric fractures of hip treated with dynamic hip screw
It has been widely used that intertrochanteric fractures are caused by direct blow over grater trochanter resulting from falling on the hip
Summary
Trochanteric fractures are sustained by elderly from trivial strain such as slipping on stairs, or stumbling in the toilet, but they may occur at any age in patient of either sex. John Buchwald in 1923 said we all come into this world under the brim of the pelvis but quit a few of us will leave through the neck of the femur. This statement, nearly 80 years later is an exaggeration but true, as proximal femoral fractures account 30 percent of all hospital admissions with mortality averaging 15 – 20 percent worldwide. To study fractures of trochanteric region, surgical anatomy of hip, to compare the results of treatment of intetrochanteric fractures with internal fixation with DHS, to prevent complications associated with conservative treatment such as malunion with coxa vara, limb shortening and limp. Rehabilitation of the patient and prevention of medical complications like thromboembolism, decubitus ulcer by early mobilization
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