MEAN TIP-APEX DISTANCE IN LAG SCREW CUT-OUT AFTER DYNAMIC HIP SCREW FIXATION OF HIP FRACTURE

Authors

  • Muhammad Shabir Department of Orthopedics and Trauma Medical Teaching Institute Lady Reading Hospital Peshawar
  • Muhammad Inam Department of Orthopedic and Trauma MTI Lady Reading Hospital Peshawar
  • Abdus Saboor Awan District Headquarter Hospital Battagram Hazara
  • Faisal Kamran Department of orthopedics and trauma Hayatabad Medical Complex Peshawar
  • Nehal Ahmad Department of Orthophedics and Trauma Hayatabad Medical Complex, Peshawar

Abstract

Background: To determine mean tip-apex distance after Dynamic Hip Screw fixation of intertrochanteric fracture. Methods: Descriptive Cross-sectional study was conducted in the Department of Orthopaedics, Hayatabad Medical Complex, Peshawar from October 2015 to September 2016 on a total 285 patients. Results: A total of 285 patients were observed. Status of TAD among 285 patients was analysed as 171 (60%) patients had TAD ranged 15 mm to 20 mm, 91(32%) patients had TAD ranged 21 mm to 25 mm, 23 (8%) patients had TAD ranged >25mm. Mean TAD was 18 mm with SD±7.45. Eight percent patients had screw cut out while 92% patients didn’t had screw cut out. Conclusion: To avoid lag screw cut out in dynamic hip screw for intertrochanteric fracture of hip the Tip apex distance must be accurate otherwise there will be cut out of lag screw.Keywords: Tip-Apex Distance; Lag Screw Cut-Out; Dynamic Hip Screw; Intertrochanteric fracture

Author Biographies

Muhammad Shabir, Department of Orthopedics and Trauma Medical Teaching Institute Lady Reading Hospital Peshawar

Assistant ProfessorDepartment of Orthopedics and Trauma Medical Teaching Institute Lady Reading HospitalPeshawar

Muhammad Inam, Department of Orthopedic and Trauma MTI Lady Reading Hospital Peshawar

Assistant ProfessorDepartment of Orthopedics and Trauma Medical Teaching Institute Lady Reading HospitalPeshawar

Abdus Saboor Awan, District Headquarter Hospital Battagram Hazara

District Orthopedic SurgeonDistrict Headquarter Hospital Battagram Hazara

Faisal Kamran, Department of orthopedics and trauma Hayatabad Medical Complex Peshawar

Department of Orthophedics and TraumaHayatabad Medical Complex,Peshawar

Nehal Ahmad, Department of Orthophedics and Trauma Hayatabad Medical Complex, Peshawar

Department of Orthophedics and TraumaHayatabad Medical Complex,Peshawar

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Published

2018-06-18

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