Vol. 6 No. 01 (2022)
Original Article

Effectiveness of Dynamic Hip Screw in Fixation of Trochanteric Fractures of Femur in Elderly Patients

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Md. Abdur Sattar Chowdhury
Associate Prof. of Orthopedic Surgery Department, Gonoshasthaya Samaj Vittik Medical College, Dhaka, Bangladesh
Muhammad Najibul Islam
Associate Prof. of Surgery Department, Gonoshasthaya Samaj Vittik Medical College, Dhaka, Bangladesh
Amreen Sadika Sayeed
Consultant of Obstructive & Gynecology, Ibrahim General Hospital, Dhanmondi, Dhaka
Zannatul Ferdous
MD, BIRDEM General Medical, Dhaka, Bangladesh
Abu Saleh Mohammad Monirul Alam
Prof. Orthopedic, Dhaka Community Medical College, Dhaka, Bangladesh

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Abstract

Background: Trochanteric angle of the femur is 125 degrees. 5 cm. Head-neck trochanter enhances hip movement, freeing limbs from pelvis. Age-related. Slow, severe morbidity. pneumonia/thrombosis Decubitus ulcer, knee stiffness, mental decline, etc. Mobility and weight bearing reduce stability. Success is 96% even with unstable fractures. 4 It's used to fix trochanteric fractures. Hip screws fix trochanteric fractures. We treat trochanteric fractures with dynamic hip screws but don't know why. Dynamic hip screws cured older patients with trochanteric fractures. Objective: To see the effectiveness of dynamic hip screw in fixation of Trochanteric Fractures of Femur in nelderly patients. Methods: 30 of 36 study participants were ER admissions, 6 were outpatients. Hospitalized patients were given 5 to 8 kg of surface traction to overcome muscular spasm, minimize pain, and rest the leg in the best functioning position. Skeletal traction was utilized to ease hip soft tissue contractures and reduce shortening. Pre-operative clinico-radiological tests and other studies assessed GA fitness. Hypertension, anemia, diabetes, and pulmonary problems were treated. After stabilizing, the procedure began. 1 g intravenous after anesthesia induction, 1 g intravenous after 24 hours, and 1 g intravenous after 48 hours of the first dose. Before stitches were removed, antibiotics were taken orally. Results: Age ranged 52-95-year-olds. 36.1% of patients were 70-79, 80-89, 60-69, 50-59, and 90-99. (68.077.46) 70-79-year-olds differ from 90-99-year-olds. Women are outnumbered (58.3 percent). 40% Variable patient genders. Most patients were retired (44.4%), housewives (41.7%), or military (13.9 percent). Most injuries were household falls, as most participants were retirees or housewives (69.4 percent). (RTA). vs. RTA. Conclusion: The dynamic hip screw streamlines nursing care for over-50 patients, reducing mortality and morbidity. Using crutches to stabilize fractures. Stable and unstable trochanteric fractures of the femur are treated using a dynamic hip screw (DHS). The series is expanded.

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Published 15-08-2022

Keywords

  • Femur,
  • Trochanteric,
  • Hospital,
  • Adult,
  • Patient,
  • Surgery
  • ...More
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How to Cite

1.
Chowdhury MAS, Islam MN, Sayeed AS, Ferdous Z, Alam ASMM. Effectiveness of Dynamic Hip Screw in Fixation of Trochanteric Fractures of Femur in Elderly Patients. Planet (Barisal) [Internet]. 2022 Aug. 15 [cited 2023 Feb. 4];6(01):91-8. Available from: https://bdjournals.org/index.php/planet/article/view/175