THE ROLE OF LATERAL FEMORAL WALL THICKNESS IN INTERTROCHANTERIC FRACTURE

Abstract

Rakesh Kumar1

In intertrochanteric Fracture, the posteromedial Portion was regarded as the most important prognostic factor in the outcome of fixation by DHS. But recently is has been demonstrated that integrity of the lateral wall is essential for successful results. In our study, Patients with AO31-AI & AO31A2 intertrochanteric fracture. Total 48 patients (30 male & 18 female) Jan 2012 to Dec 2013. The incidence of post-operative lat. wall fracture was significantly higher in A2 fracture then in A1 fracture. The fracture of lat. wall occur in 9 pt. (20%). We found that lat. wall thickness was a reliable predictor of post-operative lat. wall fracture with a threshold value of 20.5 mm. From this we suggest that treatment with a DHS is not advisable in the presence of a lat. wall thickness is reliable predictor of operative lat. Wall fracture. Intertrochanteric fracture.

image