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Minimal Invasive Dynamic Hip Screw Fixation Technique in Patient with Cardiac Complications: A Case Scenario
Ponnusami Pillai Gokulakrishnan1, Anil Gowtham Manivannan1, Sakthivel Annamalai1
1Department of Orthopaedics, K.G Hospital and Post Graduate Medical Institute, Coimbatore, Tamil Nadu, India.
Insights
Minimal invasive dynamic hip screw fixation is effective for treating intertrochanteric fractures in elderly patients with cardiac complications. This technique reduces operating time, blood loss, and surgical costs while ensuring stable fixation.
Area of Science:
- Orthopedic surgery
- Geriatric medicine
- Trauma care
Background:
- Intertrochanteric fractures are common in elderly, osteoporotic individuals.
- These fractures often occur in patients with comorbidities, complicating management.
- Optimal treatment requires minimizing surgical invasiveness and duration.
Observation:
- A 56-year-old female presented with an intertrochanteric fracture.
- The patient had cardiac complications that limited surgical operating time.
- A modified minimal invasive dynamic hip screw (MIDHS) fixation was employed.
Findings:
- MIDHS fixation successfully stabilized the intertrochanteric fracture.
- The technique significantly reduced operating time and intraoperative blood loss.
- The modified instruments facilitated a less invasive approach.
Implications:
- MIDHS fixation offers a viable surgical option for high-risk patients.
- This technique minimizes soft tissue damage, blood loss, and recovery time.
- It provides stable fixation without compromising patient rehabilitation.
Introduction:
Intertrochanteric fracture comprises nearly half of hip fractures occurring in elderly individuals with osteoporosis. Considering the age group of its population, they are often associated with multiple comorbidities which warrant optimum management with less surgical.
Case Report:
This article reports the case of 56-year-old women with in tertrochanteric fracture associated with the cardiac complication restricting operating duration. Minimal invasive dynamic hip screw (MIDHS) fixation technique with modified instruments was performed which facilitated minimizing the operating time and intraoperative blood loss.
Conclusion:
MIDHS fixation is an important technique for providing the necessary fixation minimizing soft tissue dissection, operating time, intraoperative blood loss and surgical expense without compromising fixation stability, and rehabilitation protocol.
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