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Dynamic Screw and Hip Dynamic Screw in Patients Referred to Shahid Beheshti Hospital in Yasuj During 2007-2017
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H Mohammadi  |
| Department of Orthopedics, Yasuj University of Medical Sciences, Yasuj, Iran , MHR2.DR@GMAIL.COM |
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Abstract: (864 Views) |
Background & aim: Treatment of sub trochanteric fractures is very challenging for bone and joint surgeons. The techniques used to treat these fractures are fracture reduction and the use of condylar dynamic screws and hip dynamic screws. The aim of this study was to compare the treatment of sub trochanteric fractures of type A femur with condylar dynamic screw and hip dynamic screw in hospitalized patients at Shahid Beheshti Hospital, Yasuj, Iran from 2007- 2017.
Methods: The present study was conducted by reviewing the existed data files of 50 patients with sub trochanteric fracture type A hospitalized at Shahid Beheshti Hospital, Yasuj, Iran from 2007- 2017. These patients were randomly divided into two equal groups of 25 in terms of treatment with condylar dynamic screw(DCS) and hip dynamic screw (DHS). In these two groups, the variables of treatment failure, pain, and range of motion of the hip in three-month and six-month periods were compared. The collected data were analyzed using Chi-square and Mann-Whitney tests.
Results: From the 50 patients, 11(22%) failed treatment, of which four (16%) were treated with DHS and seven (28%) with DCS. No statistically significant relationship was seen between age (p=0.1), sex (p=0.3) and type of intervention (p=0.9) with treatment failure. Treatment failure (approximately 90%) occurred in the first four months and all within six months. Both treatments (using DCS and DHS) were optimally effective in the treatment of subtrocentric fractures of type one and no statistically significant difference was observed between them (p <0.001).
Conclusion: Both treatments (using DCS and DHS) were optimally effective in the treatment of sub trochanteric fractures of type A and no statistically significant differences were observed between them.
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| Keywords: Sub trochanteric femoral fracture, DHS hip dynamic screw, DCS condylar dynamic screw |
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Full-Text [PDF 598 kb]
(248 Downloads)
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Type of Study: Research |
Subject:
Clinical
Received: 2021/10/3 | Accepted: 2021/11/13 | Published: 2021/11/13
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