Functional and anatomical outcomes of dynamic condylar screw in unstable proximal femoral fractures

Abstract

Introduction: Fractures of the proximal femur are common, especially after falls in the elderly, further compounded by osteoporosis. As such, internal fixations offer better outcomes compared to conservative approaches to prevent non-union and/or fatality.

Objective: To determine the functional and anatomical outcomes of dynamic condylar screw in unstable proximal femoral fractures.

Materials & Methods: This was a descriptive case series which was performed at the Department of Orthopedics and Trauma at Combined Military Hospital, Peshawar, Pakistan Department of Orthopedics and Trauma at Combined Military Hospital, Peshawar, Pakistan for about 06 months. Observation and examination were done by trainee medical officer and data was recorded in predesigned proforma. SPSS 23 was used for descriptive statistics.

Results: 124 participants of unstable proximal femoral fractures in total were treated with Dynamic Condylar screw were included in the study. The male-to-female ratio was 3:2. The patients' average age was 52.54±12.69 years, with a range of 25 to 80 years. Dynamic Condylar Screw (DCS) for organization of unstable proximal femoral fractures shows that good outcome was found in majority of cases which is 36 (29%), followed by fair in 31 (25%), excellent was observed in 29 (23.4%).

Conclusions: DCS is the option for proximal femur fracture. To get good functional and anatomical outcomes and minimize difficulties, the approach must be well planned and executed.