Mean Tip Apex Distance in Patients Undergoing Dynamic Hip Screw Fixation for Pertrochanteric Fractures Without Using Traction Table: A Descriptive Cross-sectional Study

Overview

Journal JNMA J Nepal Med Assoc

Specialty General Medicine

Date 2023 Jan 27

PMID 36705110

Authors

Subhash Regmi

Rajesh Kumar Chaudhary

Ishor Pradhan

Bibek Banskota

Amit Joshi

Affiliations

Soon will be listed here.

Abstract

Introduction: Dynamic Hip Screw fixation has shown to be equally effective compared to cephalomedullary nailing. The effectiveness of dynamic hip screw fixation for pertrochanteric fractures without using traction table is not well investigated. This study aimed to find out the mean tip apex distance in patients undergoing dynamic hip screw fixation for pertrochanteric fractures without using traction table.

Methods: A descriptive cross-sectional study was conducted among patients undergoing dynamic hip screw fixation for pertrochanteric fractures without using traction table between 1 September 2021 and 30 June 2022, after getting approval from institutional review committee (Reference number: IRC-2021-08-23-02). All patients undergoing dynamic hip screw fixation for pertrochanteric fractures without using traction table were included in the study. Patients with pre-existing ipsilateral or contralateral hip deformity, contra-lateral hip prosthesis, bilateral hip fractures, and history of prior ipsilateral hip surgeries were excluded. Point estimate and 95% confidence interval were calculated.

Results: Among 45 patients, the mean tip apex distance was 20.45±6.13 mm (18.66-22.24 mm, 95% Confidence Interval). Among 45 patients, 24 (53.33%) were males and 21 (46.66%) were females. The average age of the participants was 67.75±21.33 years.

Conclusions: The mean tip apex distance in patients undergoing dynamic hip Screw fixation for pertrochanteric fractures without using traction table was similar to that reported in other international studies.

Keywords: fracture fixation; hip fractures; operating tables.

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