FUNCTIONAL AND RADIOLOGICAL OUTCOME OF UNSTABLE INTERTROCHANTERIC FRACTURES USING DYNAMIC HIP SCREW (DHS)

The Dynamic Hip Screw (DHS) enables the proximal fragment to collapse in a controlled and concentric fashion, thereby locating its own position of maximum stability. The present prospective study was conducted in the Post Graduate Department of Orthopedics, SKIMS, MCH Bemina, Srinagar on 60 patients with unstable inter-trochanteric fractures and treated with an additional Trochanteric Stabilization Plate (TSP) imposed on the regular Dynamic Hip Screw with the aim to determine the functional and radiological outcome of the Dynamic Hip Screw in treating unstable inter-trochanteric fractures. The data was collected and recorded in Microsoft Excel sheet. The data was analysed with SPSS version 22.0. It was observed that the most (26.6%) of the study subjects were in the age group of 51-60 years and the male to female ratio was 1.85:1. The most common type of fracture was 31A2.2 that was 50% of study subjects and involved left side mostly. The average time for radiological union was 23.5 weeks. 18 (30%) patients reported excellent results, 33 (55%) patients reported good results and 9 (15%) patients reported fair results. 23% patients were reported with complications. It is concluded that concluded that DHS provide a better functional and radiological outcome in patients with unstable inter-trochanteric fractures.