"Dynamic Hip Screw Vs. Locking Compression Plate: A Surgical Approach To Intertrochanteric Fractures"

Background: The Dynamic Hip Screw (DHS) is widely regarded as the standard treatment for intertrochanteric fractures. Nonetheless, some orthopedic surgeons opt for alternative fixation devices such as the Locking Compression Plate (LCP). Objectives: This study aimed to compare the clinical outcomes of DHS versus LCP in the surgical treatment of intertrochanteric femoral fractures. Materials and Methods: In this cross-sectional study, 124 patients presenting with intertrochanteric fractures were treated using either DHS or LCP devices. Demographic data, fracture stability, and operative time were recorded via structured questionnaires. Patients were followed for six months postoperatively and at a final follow-up visit (ranging from 9 to 31 months) to assess Harris Hip Scores and postoperative complications, including limb shortening and device failure. Statistical analysis was performed using SPSS. Results: The incidence of limb shortening and device failure was significantly higher in the LCP group (P = 0.048 and P = 0.014, respectively). Conversely, patients in the DHS group demonstrated significantly higher Harris Hip Scores at both the 6-month follow-up and final evaluation (P = 0.01 and P = 0.018, respectively). Conclusions: Despite some associated complications, DHS remains superior to LCP in terms of functional outcomes and complication rates, reinforcing its role as the preferred method for the surgical management of intertrochanteric fractures.