ABSTRACT

Aim: To determine the outcome of delayed treatment of intertrochanteric fractures of the femur using thedynamic hip screw.

Methods: This Cross-sectional survey was done using a consecutive sampling technique at the Department of Orthopedic Surgery, Mayo Hospital, LahorebetweenJuly 2nd, 2016 to January 1st, 2017. The study's sample size was 280 cases of intertrochanteric fractures of the femur with either gender and age range 40-80year was followed on the 14th and 30th postoperative day for outcome assessment.Primary outcomes were taken as urinary tract infection by culture sensitivity and pneumonia on chest radiographs with signs and symptoms of fever >100F and productive cough within 30 days postoperatively.

Results: Patients' mean age was 58.2893±12.8539 years with minimum and maximum age of 40 and 80 years. There were 143(51.1%) male and 137 (48.9%) female cases. The mean weight, height and body mass index of patients was 64.3571±7.5330 kg, 1.5430±0.0353 m and 27.2863±3.0723 respectively with 217(77.5%) well-nourished and 63(22.5%) malnourished patients.

Conclusion: Complications including (urinary tract infection, pneumonia and wound infection) were found with delayed treatment, preventing early surgery.

Keywords: Hip fracture, intertrochanteric fracture, DHS, delayed surgery, UTI, pneumonia