Dynamic Hip Screw in Fractures of the Proximal Femur

Abstract

BACKGROUNDSixty consecutive patients with fracture of the proximal femur (41 trochanteric and 19 displaced fracture neck of the femur) were treated by dynamic hip screw implant system using 135-degree plate. Age of the patients varied from 23-96 years. There was one death due to concomitant medical problem, unrelated to surgical procedure and 2 superficial wound infections in the whole series. Union was achieved in all patients and there was no implant failure. Early mobilization and weight bearing contributed in achieving 88.1% excellent, 8.4% good and 3.4% poor end results. By restoring the function of the injured hip, early DHS allows patient the freedom of sitting cross-legged and squatting postures, which are essential part of daily activities of life of most of the Asian countries. Further, it minimizes the hospital stay and follow-up visits of the patients, thereby ensures substantial savings for both the patients and the orthopaedic service.