مرکز منطقه ای اطلاع رساني علوم و فناوري - Comparison of long-term results of dynamic hip screw and AO 130 degrees blade plate in adult trochanteric region fractures

Latin Abstract :

Objectives: The aim of this study was to compare the long-term results of two groups of patients with trochanteric fractures of the femur treated with either dynamic hip screw (DHS) or AO angled blade plate (AP) insertions. Methods: A total of 157 patients with trochanteric fractures were included in the study, and 82 patients underwent dynamic hip screw insertion, and 75 underwent AO angled blade plate inser¬tion. The mean follow-up period was 8 years (range 2.3-11.7 years) in the DHS group, and 8.5 years (2.4-12.5 years) in the AP group. Results: According to the Boyd and Griffin classification, there were 37 stable fractures (45%) and 45 unstable fractures (55%) in the DHS group, whereas there were 42 stable fractures (56%) and 33 unstable fractures (44%) in the AP group. According to Clawsonʹs functional classifica¬tion, 64% of patients in the AP group and 81% in the DHS group had good or excellent function (p<0.05). Similarly, according to Fosterʹs classification, 68% of patients in the AP group, and 85% in the DHS group had good to excellent results (p<0.05). Conclusion: DHS yields better long-term results in trochanteric fractures than do AO angled blade plates by providing earlier mobilization of the patient, better stability, and earlier union.