Surgical method:
- Interlocking plate: 5 cases.
- Sliding hip compression screw: 22 case.
- Intramedullary hip screw: 22 case.
- Hip replacement: 31 case.
Hip replacement is indicated when the hip joint has been pre-existing
and symptomatic arthritis, or when the fracture line is severe
comminuted not able to do bone fixation.
From the data we found that:
- Frequency of using the DHS and intramedullary hip screw is equal
(27.5%).
- Hip replacement is a little more with 38.7%.
- Interlocking plate is used the least (6.3%).
- Most
people younger than 60 of age operated with DHS or intramedullary hip
screw
- People more than 80 years old, almost treated with hip replacement or
intramedullary hip screw.
Varied methods used for dealing with trochanteric fractures at
Saigon-Ito hospital seem to be diversity.
Although the number of hip replacement is a little more than that of
bone fixation, the data also reflect the application of treatment
facilities quite similar to the general trend of developed countries.