Objective The purpose of this study is to evaluate the performance of dynamic hip screw for the treatment of dislocated femoral neck fractures in young patients, focusing on osteonecrosis. Methods A series of 53 patients with less than 55 years of age were retrospectively evaluated. All patients had dislocated femoral neck fractures (Garden III or IV) and were treated with DHS. Ficat's stagin...

Objective: To determine the comparative and effective applicability of Dynamic Hip Screw (DHS), proximal femoral plate (PFP) in terms rapid bony union complications for treating unstable pertrochanteric fractures. Methodology: This study was conducted at Department Orthopedic surgery, Pakistan Institute Medical Sciences, Islamabad during a period 8 months from August 2016 to April 2017. Patient...

BACKGROUND The purpose of this study was to evaluate whether PFNA-II (Asia proximal femoral nail anti-rotation) and DHS (dynamic hip screw) carry substantial post-operative hidden blood loss and to compare PFNA-II with DHS in terms of post-operative hidden blood loss in elderly high-risk patients with intertrochanteric femur fractures(IFFs). METHODS The clinical data from Jan 2005 to Apr 2015...

BACKGROUND/AIM Unstable intertrochanteric (IT) fractures, especially fractures with a reverse or transverse fracture line, have tendencies to make significant impaction on shortening of the femoral neck and lower extremity. The biomechanical complexity of the fracture, the type and the position of the implant are known to influence postoperative outcome. The aim of this study was to compare cha...

Fracture of the residual limb in an amputee is uncommon. Intertrochanteric fractures of patients who had lower limb amputation have been studied only in several case reports; however clinical studies are lacking. We performed a retrospective clinical study to assess if these patients could return to their pre-fracture activity level after dynamic hip screw (DHS) fixation of their intertrochante...

Introduction: Trochanteric fractures are one of the commonest injuries sustained predominantly in patients over sixty years of age. They are three to four times more common in women than in men. These usually occur through bone affected by osteoporosis; trivial fall being the most common mechanism of injury [1]. Discussion: The goal of this study was to compare the functional outcomes of patien...

Twenty-six patients with failed dynamic hip screw fixation of intertrochanteric fractures were included in this study. The mean age of the patients was 61 years (range, 38-84 years). Average limb shortening was 2.4 cm; 18 patients were treated with revision internal fixation and eight patients with prosthetic replacement. The decision depended on the physiological age of the patient, quality of...

Dynamic hip screw and gamma nail have been widely used to treat the patients with proximal femoral fractures, but clinical failures of those implants are still to be found. This study developed three-dimensional finite element models to investigate the biomechanical performances of the implants. Two kinds of commercially available implants (dynamic hip screw and gamma nail) and one newly design...