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A prospective study of iatrogenic lateral wall fracture (ILWF) in intertrochanteric (IT) fracture femur patients, treated with dynamic hip screw (DHS) and its effect on stability of fracture

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Original Article

Author Details : Abhishek Nair*, Mukesh Phalak, Parth Yadav

Volume : 7, Issue : 1, Year : 2021

Article Page : 17-22

https://doi.org/10.18231/j.ijos.2021.003

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Abstract

Intertrochanteric fractures accounts for nearly more than half of the fractures involving the proximal femur and the hip joint. This type of fracture is fairly common among the older strata of the population, due to the reduction of the skeletal mass and osteoporosis characteristically seen as age advances. There are a number of devices/implants that can be used for internal fixation of these fractures among them the Dynamic Hip Screw (DHS) with sliding plate is one such device.
The lateral wall of the proximal femoral region is plays a key role in the stability of this fracture. The intact wall stabilizes the fracture. Thus a high level of attention and precaution should be taken to preserve the lateral wall during this procedure. In cases of iatrogenic lateral wall fractures, that happens intra operatively, the plan of the surgery changes as the presence of the lateral wall is vital for the stability and proper functioning of this device.
This study deals with measuring circumference of the proximal femoral shaft and checking for the presence of the iatrogenic lateral wall fracture post operatively and to check if the occurrence can be predicted thus avoiding surgeries with the DHS device thus preventing disastrous complications.

Keywords: Iatrogenic lateral wall fracture, Intertrochanteric fracture, Dynamic Hip Screw fixation.

How to cite : Nair A , Phalak M , Yadav P , A prospective study of iatrogenic lateral wall fracture (ILWF) in intertrochanteric (IT) fracture femur patients, treated with dynamic hip screw (DHS) and its effect on stability of fracture. Indian J Orthop Surg 2021;7(1):17-22

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