TO STUDY THE MANAGEMENT OF TROCHANTRIC FRACTURES -A PROGRESSIVE STUDY

Trochantric fracture is defined as an extracapsular fracture of neck of femur, occurring in a line between the lesser and the greater trochanter and extending to a point two inches below lesser trochanter. Patients with trochantric fracture differ from the patients of fracture neck of femur, being more in older age, greater trauma involved in the injury and extra deformity produced as well as extra trauma involved in their surgery. Unlike intracapsular fractures, since the fracture surface is cancellous with abundant muscle tissue around, the fracture union is rule. There is no complication like avascular necrosis of femoral head, except malunion which is frequent in these fractures. Non union is very rare. If these patients survive the injury, the reported rate of union is 95% to 98%. AIMS AND OBJECTIVES: To study the result of treatment of trochantric fractures with sliding hip screw and locking compression plate assembly. To assess the rate of complications with the use of locking compression plate attached to sliding hip screw. MATERIAL AND METHODS This prospective study was conducted in orthocare hospital Delhi from May 1 st 2015 to may 2017. Summary and conclusion Keeping in view the above observations and dynamic hip screw with fixed angle locking screw s would reduce the risk of DHS failure. Locking screw DHS would be particularly useful in patients with poor quality osteoporotic bone and in patients with less stable fracture configurations. Further locking plate is ideal for percutaneous insertion thus reducing the blood loss and operative time. Early weight bearing is additional advantage in elderly patients for good vocational methods.