An Overview of Fixation Failure, Malunion and Possible Complication of Soft Tissue and Bone Infection

Background: Trochanter fractures form the majority of hip fractures. The majority of trochanteric fractures occur in patients aged 66 to 76. The majority of fractures occur in the elderly, typically as a result of osteoporosis and mild or minor trauma because this is an elderly age fracture. Morbidity is severe and obvious such as thromboembolism and pneumonia. Decubitus ulcers, stiff knees, mental decline, etc. are all common. Mal-union and varus angulations are common. Dynamic hip screw fixation for trochanteric fracture management is now practicing in our hospital setting but we do not have any study to see its advantage or any disadvantage. In this article we want to explain the Fixation failure using dynamic hip screw, malunion and possible complication of soft tissue and bone infection due to this. Objective: The main objective is to overview the Fixation Failure, Malunion and Possible Complication of Soft Tissue and Bone Infection. Materials and Methods: Descriptive study conducted at Department of Orthopedic Surgery, Chittagong Medical College Hospital, Chittagong, with the sample size of 36 patients aged above 50 years admitted to the Chittagong Medical College Hospital with closed trochanteric fracture to find the fixation failure, malunion and possible other complications. Results: The patients' ages ranged from 52 to 95 years. The majority of patients were 70-79 years old (36.1%), followed by 80-89 years (25%), 60-69 years (22.2%), 50-59 years (11.1%), and 90-99 years (5.6%). The mean (±SD) age of the total study patients (n=36) was 72.± 1.20 years, male (n=21) was 75.05±12.62 years and female (n=15) were 68.07±7.46 years. Maximum number of patients (44.4%) were retired, 41.7% housewife and 13.9% service holder. There are significant differences between retired and service holder groups. That among the patients, most of them sustained injuries on their right side (69.4%>), and left side involvement was only in 30.6%. overall radiological improvement ....