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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Assessment of Tip‐Apex Distance in Dynamic Hip Screw Fixation of Intertrochanteric Fractures: Implications for Surgical Outcomes and Complications

Pratyush Parag, Niraj Singh and Govind Mohan Jee
Page: 113-118 | Received 14 May 2024, Published online: 07 Jul 2024

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https://doi.org/10.36478/10.36478/makrjms.2024.8.113.118

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Abstract

Intertrochanteric fractures pose significant challenges in orthopedic practice, particularly among the elderly, due to high morbidity and mortality rates. Dynamic Hip Screw (DHS) fixation is a standard surgical approach aimed at achieving stable fracture fixation, with Tip‐Apex Distance (TAD) serving as a critical parameter in assessing surgical success and complication risk. This retrospective cohort study analysed intertrochanteric fractures treated with DHS at Darbhanga Medical College from January 2023‐May 2024 place of study. 20 Patients with complete medical records and radiographs were included. TAD measurements were calculated from postoperative and 6‐month follow‐up radiographs to evaluate their association with surgical outcomes. The study found that a TAD exceeding 25 mm postoperatively correlated significantly with higher rates of lag screw cut‐through and poorer reduction outcomes. Fractures with cut‐through exhibited consistently higher median TAD values compared to those without, underscoring the impact on fracture stability and patient recovery. Surgical precision in achieving an optimal TAD below 25 mm is crucial to minimize complications and enhance outcomes in DHS‐treated intertrochanteric fractures. These findings emphasize the importance of meticulous technique and ongoing radiographic monitoring to optimize fracture fixation and patient care.

How to cite this article:

Pratyush Parag, Niraj Singh and Govind Mohan Jee. Assessment of Tip‐Apex Distance in Dynamic Hip Screw Fixation of Intertrochanteric Fractures: Implications for Surgical Outcomes and Complications.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.8.113.118
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.8.113.118