Measurement of Harris Hip Scoring During Early post-operative Period in Intertrochanteric Fractures FemurTreated with Dynamic Hip Screw

Abstract

Objectives: Intertrochanteric fractures of femur are difficult fractures to reconstruct because of strong biomechanical forces leading to failure of many an implant designs in the past. After failure of many designs Dynamic Hip Screw (DHS) has stood the test of time. We have prospectively studied the functional recovery of these fractures in 60 patients for 24weeks using Harris Hip scores. Harris hip score was used to measure the outcome. Material and Methods: It was a descriptive case series done between 15th March 2022 to 14 January2023 in Department of Orthopedics Surgery, Avicenna Hospital, Lahore. Sixty patients of intertrochanteric fractures within 2weeks ofinjury of age≥50 yearswere inducted in a descriptive study and Harris Hip Score was used to study the rehabilitation during 6 months after surgery. Patients with other fractures of same limb or multiple fractures, BMI >35.0kg/m2, or diabetic (BSR >200 mg/dl), patients with pre-existing symptomatic acetabular diseases, patient with previous stroke, hemiparesis or other neuromuscular disorder likely to interfere with uneventful rehabilitation were excluded. Patients were were followed-up in OPD after 12, 20 and 24 weeks of surgery. On each visit biplane X-rays were made, patient was interviewed and Harris hip score was calculated. In the end according to Harris hip score, functional outcome was categorized as excellent, good, fair and poor outcomes. Results: Out of these 60 patients, 20 (33.33%) were male and 40 (66.67%) were female. Mean age was 61.40 ± 5.97 years. Mean duration of fracture was 8.05 ± 2.51 months. In ourstudy, functional outcome was excellent in 63.33%, good in 26.67%, fair in 5.0% and poor in 5.0% cases. Mean Harris hip score was 88.40 ± 7.91. Conclusion: Harris hip score can be used to assess rehabilitation of patients treated with DHS for intertrochanteric fractures in early post operative period.