RESUMO
Objective: Aim of the study was to evaluate the results of DHS fixation union rate, complications and functional outcome
Study Design: Experimental / clinical trial study
Place and Duration of Study: This study was carried out at Bolan Medical Complex Hospital Quetta from January 2014 to December 2015
Materials and Methods: 45 patients were surgically treated with use of dynamic hip screw [DHS] to stabilize the intertrochanteric fractures. Out of total 45 patients 35 [74%] were males and 10[14%] females. Age ranged between 25 -71 years average 63.9 years. Most common mode of injury was mixed in 28 patients. All the cases were classified according to Jensen's classification. All the cases were performed under image use of 135' angle plate with hip screw
Results: Out of 45 patients 03 patients died, two in the hospital and I at home. It was observed that patients from rural areas arrived late [19.8 days] after their injuries and these from urban areas reached within two days and thus affected the reduction and operation time
Time lapse between the injury and operation was 11.7 days. Overall union time was 20.02 weeks
No nonunion was seen
Complications were seen in 12 patients
Conclusion: Excellent to good results were achieved in 96% of cases which concludes that DHS is bio-mechanically stronger and better implant for fixation of intertrochanteric fractures
RESUMO
Objective: To review the presentation and evaluate the radiographic and functional outcome of developmental dysplasia of hip [DDH] in older children treated by triple procedure surgery, consisted of open reduction, Salter Innominate Osteotomy [SIO], femoral shortening and derotation Osteotomy
Study Design: Observational / descriptive study
Place and Duration of Study: This study was conducted at the BMC Hospital Quetta from January 2013 to December 2015
Materials and Methods: We assess the efficacy and safety of underwent triple procedure treatment of DDH in older children. The study series comprising 22 patients [25 hips].Patients were classified pre-operatively according to the Tonnis Classification, and post-operative functional evaluation was performed using modified Mackay's scoring system, while radiographic assessment considered Severin scoring method
Results: The average age at presentation was 5.60 years and the male to female ratio was 2:46 months. While the average follow-up were 16.4 months. The final outcome was successful in 19 hips [76%] in 16 patients. Patients younger than 5-6 years of age had a better radiological and clinical outcome as compared to older children. Although in the outcome of clinical and radiological assessment there were no significant different between group-I and group-II
Conclusions: Late presentation of DDH is still common in Quetta, Balochistan, which necessitates Triple procedure operative management given frequent occurrences of best result in younger children. Early diagnosis and surgical interventions is therefore imperative in the successful treatment of patients suffering from DDH