Patients who had a normal range of motion, minimum limp and no pain, and who rarely used a cane (provided that they had not used a cane in the prefracture period) were graded as having excellent results. Lengths of the lower extremities were compared.Īt final follow-up, patients were evaluated according to the modified criteria of Kyle et al. Leg length was assessed by measuring the distance between the anterior superior iliac spine and the tip of medial malleolus. Hip joint motion was measured using a goniometer and compared to the healthy side. Reduction was categorised as good if the femoral neck angle was 10% shortening. Also, we present results of their fixation using the DHS/DRS composite. The aims of this study were to identify a group of proximal femoral fractures having potential liability for axial and rotational instability. The DHS and derotation screw (DRS) combination comprises a multiplicity of the screws, usually required for rotational stability of the neck fractures and sliding capacity, which is required for controlled impaction of trochanteric fractures. Thus, we postulated that for successful internal fixation of basicervical fractures and similar fractures, they should be treated according to considerations of both femoral neck osteosynthesis and trochanteric fractures. Therefore, we supposed that some types of trochanteric fractures perhaps biomechanically simulate basicervical fracture. We have confronted specific technical difficulties when dealing with certain types of trochanteric fractures, the same as those with basicervical fracture. Nevertheless, an accurate detection of the fracture stability is difficult. Unstable trochanteric fractures are associated with complications. Stable trochanteric fractures usually heal well, irrespective of the fixation device. However, because basicervical fractures have greater instability than stable intertrochanteric fractures, poor functional outcome may be expected when the DHS is used alone. Previous studies recommended treating basicervical fractures as intertrochanteric fractures with the dynamic hip screw (DHS). Due to this location, it represents an intermediate form between femoral neck, usually fixed with multiple cancellous screws, and the intertrochanteric fracture, fixed with a sliding screw device. Basicervical fracture is a fracture through the base of femoral neck at its junction with the intertrochanteric region.
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