TREATMENT OF UNSTABLE TROCHANTERIC FRACTURE: A COMPARATIVE STUDY BETWEEN DHS AND DHS WITH TROCHANTERIC STABILIZATION PLATE | ||||
| Egyptian Journal of Orthopedic Research | ||||
| Article 3, Volume 5, Issue 1, March 2025, Page 19-25 PDF (385.19 K) | ||||
| Document Type: Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations | ||||
| DOI: 10.21608/ejor.2024.418180 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Ahmed Mohammed Abdel-Aleem; Elshazly Saleh Moussa; Mohammed Ali Ahmed; Moustafa Elsayed | ||||
| Orthopedic dept., Faculty of Medicine, Sohag Univ, Sohag Egypt | ||||
| Abstract | ||||
| ntroduction: The dynamic hip screw (DHS) is the standard implant for treatment of trochanteric fractures. Trochanter Stabilizing Plate (TSP) is a modular extension of the DHS that is employed to stabilize the greater trochanter and the lateral wall. This Prospective study was conducted to compare the results of using of DHS alone versus DHS with stabilizing plate for treating unstable trochanteric fracture (AO classification type A2). Methods: 167 patients were evaluated for eligibility; the criteria were not met by 12 patients, and 5 patients declined to participate in the study. The remaining patients were randomly allocated into two equal groups (75 patients in each) group 1 using DHS alone and group 2 using DHS with TSP. Clinical evaluation was done using Clinical Harris Hip Scoring System (Modified HHS). Radiological evaluation was done by x-ray to assess; healing time, neck shaft angle measurement and shaft medialization. Results: Tip Apex Distance (TAD), the position of lag screw, and bone quality revealed insignificant differences between both groups. Postoperative healing was insignificantly different between both groups. Postoperative Harris hip score and neck shaft angle were significantly higher in group 2 than in group 1 (P value< 0.001 and 0.007 respectively). Conclusion: DHS combined with stabilizing plates have better radiological and functional outcomes for treating unstable trochanteric fractures (AO classification type A2). | ||||
| Keywords | ||||
| Unstable Trochanteric Fracture; DHS; Trochanteric Stabilization Plate | ||||
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