DOI: 10.36347/sasjs.2020.v06i08.005

Pages: 304-309

Background: Basicervical fractures of femur represent an intermediate form of injury between the neck femur fractures andintertrochanteric fractures, with no clear-cut guidelines for fixation. The purpose of this study was to evaluate the effectiveness of DHS and derotation screw fixation in the management of basicervical fractures of femur. Objective: To find out the Management of Basicervical Neck Femur Fractures With Dynamic Hip Screw (DHS) And Derotation Screw Fixation. Methods: This was a prospective observational study conducted on 26 patients of either sex with an average age of 52.46 years, presenting to the department of orthopaedic surgery of Mymensingh Medical College & Hospital (MMCH), Mymensingh, Bangladesh & National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh in between January 2018 and December 2019, with a diagnosis of basicervical neck femur fracture. All the patients underwent closed reduction and internal fixation with dynamic hip screw (DHS) and derotation screw. The patients were followed up for a period of 1 year. The patients were analysed for union and functional results using the modified Harris hip score. Results: All the fractures united and the average time of union was 14.4 weeks. The modified Harris hip score at follow up was excellentin 14(53.84%), good in 8(30.77%), fair in 3(11.54%) and poor in 1(3.85%) patients respectively. Conclusions: Thus results of our study demonstrate that closed reduction and internal fixation with DHS and derotation screw is a safeand effective surgical procedure for the treatment of basicervical neck femur fractures.