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Management of ipsilateral intertrochanchteric fracture and shaft Of femur with dhs and dfn

Author: 
Abdul Ghani, Sumeet S Charak, Bias Dev, Khalid Muzzaffer And Suhail Bhat
Subject Area: 
Health Sciences
Abstract: 

Background: Ipsilateral intertrochancteric ractures with fracture of shaft of femur are rare injuries. They warrant special diagnostic and therapeutic considerations. The aim was to study the results of operative treatment of ipsilateral intertrochanchteric and shaft femur fractures with dynamic hip screw (DHS) and retrograde nailing (DFN). Emphasis was posed on long- term functional outcome, especially daily activities. Material and Methods: 8 patients (6 male and 2 female) with ipsilateral intertrochancteric and shaft of femur fractures were treated with vari¬ous fixation devices. Functional outcome was assessed using the Friedman and Wyman classification. Results: All the 8 intertrochancteric fractures united in a mean duration of 3 months. Of the femoral shaft fractures 6 united in a mean of 8.5 months, 2 non unions. One patient developed superficial infection, which resolved with debridement and antibiotic treatment. Functional results were good in 4 patients, fair in 2 and poor in 2. Conclusion: Early diagnosis of all injuries and operative treatment are important to improve the functional outcome in ipsilateral intertrochancteric and shaft fractures. Basically, each technique has individual advantages and disadvantages, and all are technically demand¬ing. Most important factor determines the outcome is the anatomical reduction and stable internal fixation of both fractures.

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