MANAGEMENT OF AO31A3  INTERTROCHANTERIC FEMUR FRACTURES USING 95?� DYNAMIC CONDYLAR SCREW�PLATE

Dr. Priyanjal Jakhar; Dr. Rajeev Yadav; Dr. Anurag Chhabra; Dr. Ashok Kumar; Dr. Sunil Yadav; Dr. Jay Dhariwal

Volume : VI, Issue : V, May - 2016

MANAGEMENT OF AO31A3 INTERTROCHANTERIC FEMUR FRACTURES USING 95?� DYNAMIC CONDYLAR SCREW�PLATE

Dr. Priyanjal Jakhar, Dr. Rajeev Yadav, Dr. Anurag Chhabra, Dr. Ashok Kumar, Dr. Sunil Yadav, Dr. Jay Dhariwal

Abstract :

Background: Management of AO31A3 intertrochanteric fractures has unique problems because of peculiar anatomy, leading to high instability. There is no standard treatment protocol described in literature. So, this prospective study was done to evaluate clinical outcomes of management of these fractures by Dynamic Condylar Screw–plate (DCS). Methodology: 25 patients having AO31A3 fractures were managed with open reduction and internal fixation using DCS as per standard AO technique. Results: Average time of union was 18.66 weeks, with a mean Harris Hip score of 88.09. Complications seen were non–union, varus collapse, implant failure and limb length discrepancy. Conclusion: Results were comparable with other studies in the world. Design of DCS allows its use specially in AO31A3 fractures, where DHS has high failure rates. DCS is a very versatile implant which allows anatomical and rigid fixation. It allows rotational stability of proximal fragment because of extra screw fixation apart from lag screw.