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Comparison between Conventional and Minimally Invasive Dynamic Hip Screws for Fixation of Intertrochanteric Fractures
A Mahmood1, M Kalra2, M K Patralekh3
1Department of Trauma and Orthopaedics, Milton Keynes Hospital NHS Foundation Trust, Milton Keynes, Buckinghamshire, MK6 5LD, UK ; Department of Orthopaedics, Sohar Hospital, Sohar 321, Oman.
Abstract:
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.
