%0 Journal Article
%T Comparison between Conventional and Minimally Invasive Dynamic Hip Screws for Fixation of Intertrochanteric Fractures of the Femur
%A A. Mahmood
%A M. Kalra
%A M. K. Patralekh
%J ISRN Orthopedics
%D 2013
%R 10.1155/2013/484289
%X Background. Intertrochanteric fractures of the proximal femur are one of the most common fractures encountered, and dynamic hip screw with a side plate is the standard treatment. We compared a minimally invasive surgical technique with the conventional surgical technique used in the fixation of intertrochanteric fractures with the dynamic hip screw (DHS) device. Methods. Thirty patients with such fractures were treated with the conventional open technique and 30 with a new minimally invasive technique. Patients in both groups were followed up for 1 year. Results. There was less blood loss, minimal soft tissue destruction, shorter hospital stay, and early mobilization with the minimally invasive technique. Conclusion. The present study finds minimally invasive technique superior to conventional (open) DHS. 1. Introduction Hip fractures are among the most common fractures encountered in orthopaedic trauma. Now they need more attention because as the average life expectancy, elderly population, and subsequent resulting osteoporosis continue to increase, orthopaedic surgeons will get more such cases [1¨C4]. Intertrochanteric fractures in the elderly are associated with high rates of mortality, ranging from 15 to 20%, as they are at a high risk for deep vein thrombosis (DVT), urinary tract infections, and pulmonary embolism if they fail to mobilize or ambulate early [5]. Surgical stabilization fulfills the aim of early mobilization and facilitates union in an anatomical position. Due to this, operative stabilization of these fractures is now the gold standard treatment. Although other options are available, the standard approach is to use a dynamic hip screw (DHS) with a 4-holed side plate in stable fractures in most centers [6¨C8]. DHS was historically introduced in 1950s to replace the standard fixed nail plate [4]. Traditionally a wide surgical exposure is necessary for this procedure which comes with its drawbacks like a large skin incision, considerable soft tissue trauma, significant blood loss, and pain. To avoid these problems minimally invasive surgery has been advocated recently [3, 4, 7, 9]. It has theoretical advantages of decreased blood loss, better cosmesis, less pain, and rapid rehabilitation. We conducted a prospective comparative study of conventional (open) DHS and minimally invasive DHS at our center to test the utility of this new approach. 2. Methods This study was carried out in the Department of Orthopaedic Surgery, Sohar Hospital, Oman, between 2008 and 2011. A total of 60 patients with intertrochanteric femoral fractures were selected
%U http://www.hindawi.com/journals/isrn.orthopedics/2013/484289/