Clinical and radiological evaluation of transtrochanteric hip fractures treated with the DHS system.
DHS in intertrochanteric hip fractures
Keywords:
dynamic hip system, hip fracture, cut outAbstract
Objectives: the objective of the study is the result of the clinical and radiological results of the surgical treatment with the DHS system in transtrocanteric hip fractures in the Hospital Obrero No 2, during the administration 2017-2018.
Methods: this is an observational, prospective study in the traumatology service of Worker’s Hospital No. 2. We included 52 patients who were admitted with a transtrochanteric hip fracture and who underwent surgery with the DHS system. The evaluation of the operated hip is developed in the fourth and the sixth month after the surgery according to the Oxford Hip Score.
Results: of the 52 patients, 36 (62%) were women and the rest were males. The average age was 82 years, in 61% (32) the affected side was the left. According to the AO classification, the most frequent transtrocanteric hip fractures were unstable fractures in 55.7% (29) and 44.3% (23) had stable fracture. The trimming or extrusion of the DHS screw outside the head of the femur has occurred in 5.7% of cases. The functionality according to the Oxford scale at 4and 6 months postoperatively indicates a satisfactory evolution in 60%.
Conclusions: the DHS system is the main option used in the SNC for this type of fracture, with good results according to the Oxford functional scale.
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