"Dynamic Hip Screw Vs. Locking Compression Plate: A Surgical Approach To Intertrochanteric Fractures"
DOI:
https://doi.org/10.69980/ajpr.v28i5.409Abstract
Background: The Dynamic Hip Screw (DHS) is widely regarded as the standard treatment for intertrochanteric fractures. Nonetheless, some orthopedic surgeons opt for alternative fixation devices such as the Locking Compression Plate (LCP).
Objectives: This study aimed to compare the clinical outcomes of DHS versus LCP in the surgical treatment of intertrochanteric femoral fractures.
Materials and Methods: In this cross-sectional study, 124 patients presenting with intertrochanteric fractures were treated using either DHS or LCP devices. Demographic data, fracture stability, and operative time were recorded via structured questionnaires. Patients were followed for six months postoperatively and at a final follow-up visit (ranging from 9 to 31 months) to assess Harris Hip Scores and postoperative complications, including limb shortening and device failure. Statistical analysis was performed using SPSS.
Results: The incidence of limb shortening and device failure was significantly higher in the LCP group (P = 0.048 and P = 0.014, respectively). Conversely, patients in the DHS group demonstrated significantly higher Harris Hip Scores at both the 6-month follow-up and final evaluation (P = 0.01 and P = 0.018, respectively).
Conclusions: Despite some associated complications, DHS remains superior to LCP in terms of functional outcomes and complication rates, reinforcing its role as the preferred method for the surgical management of intertrochanteric fractures.
References
1. Kyle RF, Gustilo RB, Premer RF. Analysis of outcome of treatment of intertrochanteric fractures of the femur with special reference to screw fixation. Clin Orthop Relat Res. 1979;(138):175-83.
2. Muller ME, Allgower M, Schneider R, Willenegger H. Manual of Internal Fixation: Techniques Recommended by the AO-ASIF Group. 3rd ed. Springer-Verlag; 1991.
3. Jensen JS. Classification of trochanteric fractures. Acta Orthop Scand. 1980;51(2):803-10.
4. Nordin S, Östgaard SE, Hellström K, Hansson T. Failure rate of fixation of intertrochanteric fractures: a comparison between sliding hip screw and the Dynamic Compression Plate. Injury. 1984;15(5):288-93.
5. Yong-Hing K, Millis MB, Borden LS. Intertrochanteric fractures treated by the sliding hip screw. J Bone Joint Surg Am. 1982;64(6):871-80.
6. Ehlinger M, Adam P, Bonnomet F, et al. Complications following surgical treatment of unstable intertrochanteric fractures with the dynamic hip screw. Orthop Traumatol Surg Res. 2013;99(5):583-8.
7. Yuming Z, Yonghua W, Shushan G, et al. Locking compression plate fixation of intertrochanteric fractures in elderly patients. Orthop Surg. 2010;2(4):264-8.
8. Simmermacher RKJ, Ljungqvist J, Bail H, et al. The proximal femur locking compression plate (PF-LCP): A new concept for the treatment of proximal femoral fractures. Acta Orthop Belg. 2008;74(6):679-84.
9. Brunner A, Babst R, Bugmann P. Functional results and complications of intertrochanteric fractures treated with the dynamic hip screw. Injury. 1999;30(6):403-8.
10. Koval KJ, Zuckerman JD. Hip fractures: management and rehabilitation. Springer; 2000.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 American Journal of Psychiatric Rehabilitation
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License permitting all use, distribution, and reproduction in any medium, provided the work is properly cited.
