RETROSPECTIVE ANALYSIS OF RADIOLOGICAL OUTCOME IN SUBTROCHANTERIC FEMUR FRACTURE OPERATED BY DIRECT AND INDIRECT METHODS OF REDUCTION AND FIXATION

Chintan Harilal Patel; Kruti Chintan Patel; Vishal Bhagwandas Panchal

Volume : V, Issue : XII, December - 2016

RETROSPECTIVE ANALYSIS OF RADIOLOGICAL OUTCOME IN SUBTROCHANTERIC FEMUR FRACTURE OPERATED BY DIRECT AND INDIRECT METHODS OF REDUCTION AND FIXATION

Chintan Harilal Patel, Kruti Chintan Patel, Vishal Bhagwandas Panchal

Abstract :

Total 53 cases operated for subtrochanteric fractures were classified according to Seinsheimer‘s classification. Type IIIA constituted the maximum (n=11) with 7 operated by direct and 4 by indirect method of reduction and fixation; followed by Type V (n=10) with 6 direct and 4 indirect. Rest of 32 patients belonged to Type I (n=4), IIA (n=4), Type IIB (n=5), Type IIC (n=7), Type IIIB (n=7) and Type IV (n=5). Statistical significance was found for unstable and comminuted fractures (Seinsheimer types: III A, III B, IV, V) for the method chosen (direct or indirect) by the surgeon, in terms of fracture healing time. The operative method influences the healing time for unstable, comminuted subtrochanteric fractures, and dictates the importance of the indirect method for fracture reduction and fixation. In cases of stable subtrochanteric fractures there appears to be no significant relation between the fracture healing time and the method chosen.