Role of Tip Apex Distance Accuracy in Reducing the Incidence of Lag Screw Cut-Out in the Treatment of Proximal Femur Fractures | ||
| Zagazig University Medical Journal | ||
| Volume 30, Issue 1.2, January and February 2024, Pages 381-388 PDF (938.43 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2023.232526.2866 | ||
| Authors | ||
| Ibrahim Mohamed Attia Hammad* 1; Ahmed Amin2; Mohamed Abdel Fattah Sebaei3; Osam Mohamed Metwally3 | ||
| 1M.B.B.C. Faculty of Medicine – Zagazig University | ||
| 2prof of orthopaedic surgery | ||
| 3Orthopedic and Traumatology Department, Faculty of Medicine, Zagazig University, Egypt | ||
| Abstract | ||
| Background: Due to the population's longevity and high life expectancy, the frequency of proximal femoral fractures doubles with age. As a result, managing such fractures places a financial and logistical burden on the social and health care systems. Aim of the work: using Tip Apex Distance (TAD) as a tool for decreasing the incidence of lag screw cut-out in managing proximal femur fractures using cephalo-medullary nailing and dynamic hip screws. Subject & Methods: This interventional clinical trial included 18 patients 18 with proximal femur fractures managed either by cephalo-medullary nailing or dynamic hip in the Orthopedic department, at Zagazig University Hospitals. Clinical as well as radiological assessments were applied pre- and post-operative. Results: Gamma nails were used among 10 cases (55.6%) and Dynamic hip screw (DHS) was used among 8 cases (44.4%) of the studied group. Most of the cases (72.2%) didn’t have any complications, three cases (16.7%) had cut out and two cases (11.1%) had superficial infections. The mean operative Tip Apex Distance among cases was (19.1± 3.13) ranging from (13.6 to 26.7) mm. Two-thirds of cases (66.6%) had excellent quality reduction, three cases (16.7%) had good quality and three cases (16.7%) had poor quality. TAD increased significantly at 6 months postoperative among patients with poor than good than excellent reduction quality. TAD increased significantly at 6 months postoperative among patients with cut-outs than without cut-outs. Conclusion: Tip apex distance accuracy plays a crucial function in reducing the incidence of lag screw cut-out in managing proximal femur fractures | ||
| Keywords | ||
| Tip apex distance; lag screw cut-out; proximal femur fractures | ||
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