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Research Paper | Orthopedic | India | Volume 12 Issue 6, June 2023 | Popularity: 5.3 / 10

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To Evaluate Functional Outcomes of Dynamic Hip Screw with Derotation Screw versus Cannulated Cancellous Screw in Basicervical Fracture Neck of Femur in Adults

Dr. Anil Kumar Meena, Dr. Rahul Gorakh, Dr. Anamendra Sharma

Abstract: Introduction: To Evaluate the Functional Outcome of Basicervical neck of femur Fractures treated with Dynamic Hip Screw (DHS) and derotation screw or cannulated cancellous screw alone. To evaluate the results of above procedures in terms of benefits and complications according to harris hip score. Methodology: Type of Study: Prospective analytic study. Study Place: Department of Orthopaedics, MaharanaBhupal Government hospital attached with Ravindranath Tagore Medical College, Udaipur. Duration of Study: December 2021 to November 2022. Patient Population: All patients with basicervical fracture of neck of femur who was require surgical treatment. Study was designed on CONSORT Guidelines. Inclusion Criteria: 1. Age 18 to 50 years.2. Closed basicervical fracture neck of femur.3. Patient giving informed consent to participate in the study. Exclusion Criteria: 1. Below 18 or above 50 years of age.2. Compound fractures.3. Infections, unsuitable skin condition like blebs, burns, and bedsores.4. Inability to walk before the fracture. Result: In our study 60 fresh cases of closed basicervical fracture neck of femur (>18 yrs, either sex) were enrolled. In this study most of the patient about 60% were males & 40% were females. Thus 90% & 86.7% of the hips were classified as having a satisfactory to excellent result and 10.0% & 13.3% of the patients had a poor result for group A & B respectively. In our study total Harris hip score at the end of six months ranged from 41.4% to 100%. in our study 83.34% of patients returning to their premorbid ambulatory status and 96.4% of patients having good pain relief at six months of follow up. Conclusion: In our study blood loss, soft tissue trauma, duration of surgery & cost of treatment are more for the DHS group comparatively the CC group, but over all stability given by the DHS group superior than the CC group.

Keywords: DHS, CC, CONSORT, Basicervical, Harris HIP Score

Edition: Volume 12 Issue 6, June 2023

Pages: 1661 - 1664

DOI: https://www.doi.org/10.21275/SR23613132020

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