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Commentary: Dynamic Hip Screw Fixation versus Multiple Screw Fixation for Intracapsular Hip Fracture
Author(s) -
Wong Tak Man
Publication year - 2016
Publication title -
journal of orthopaedic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 40
eISSN - 2309-4990
pISSN - 1022-5536
DOI - 10.1177/1602400202
Subject(s) - medicine , dynamic hip screw , internal fixation , fixation (population genetics) , hip fracture , surgery , arthroplasty , osteoporosis , population , environmental health , endocrinology
of fragility hip fracture also increases. By 2050, the incidence is predicted to be around 4.5 million.1 Treatment of intracapsular hip fractures depends on many factors including patient age, fracture pattern, degree of fracture displacement and comorbidities. For younger patients (<65 years of age), the femoral head should be preserved using an internal fixation method, either multiple screw fixation or dynamic hip screw (DHS), to avoid any long-term complication of arthroplasty.2 For elderly patients, both internal fixation methods are suitable for nondisplaced intracapsular hip fractures. Nonetheless, arthroplasty is preferable for displaced intracapsular hip fractures because of a lower reoperation rate and better functional outcome.3 In this issue, Jettoo et al.4 compared DHS fixation with multiple screw fixation for intracapsular hip Commentary: Dynamic hip screw fixation versus multiple screw fixation for intracapsular hip fracture

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