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September 2021 -
Volume 19, Issue 9


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From the Editor

Editorial
A. Abyad (Chief Editor)
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Original Contribution

Incidence prevalence and management of different types of arrhythmia in patients with ischemic heart disease in Taif city
Ali M. AlabdaliMohammed N. Elganainy, Waad S. Alzahrani,
Abdulelah A. Asiri, Hanan R. Alhuthali, Hussain S. Alqahtani, Danah K. Kabrah
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94118


Knowledge, Attitude and Practice Toward the Use of Emergency Contraception Methods Among Women in the Kingdom of Saudi Arabia
Rehab Alsaleh, Nouf Khaleel Althagafi, Siba Nasser Algaidy, Noura Ali Alhasawi, Raffal Abdulwahab Algaedy
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94119

Knowledge, attitude and practice towards heat related illnesses of the general public of Jeddah, Saudi Arabia
Fathi El-Gamal, Ahmed Ghandoura, Abdullah Alammari, Bushra Alghamdi,
Lama Babhair, Sali alsabhani
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94120

Intertrochanteric Fracture Treated by Dynamic Hip Screw, Aden, Yemen
Abdulsalam Abdullah Hadi Mohsen
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94122

Regional Covid Issues

Essentials to prevent and live with COVID-19: An Explanatory Mixed Method Study at Bisha, Kingdom of Saudi Arabia
Muffarah Hamid Alharthi
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94123

Anxiety and Perceived Stress among Physicians Working at Cairo University Hospitals Amid COVID-19 Pandemic
Eman Elsayed Sedik Ebrahim, Marwa Mostafa Ahmed, Dalia Mohamed Gaber,
Heba Galal Elnahas
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94125

Review

Semaglutide for the treatment of obesity - a review
Abubakar Bham, Mohsin Allah Ditta
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94116

Population and Community Studies

Burden of hypothyroidism in the primary care population in Qatar
Sabana Shaikh, Prince Christopher Rajkumar Honest
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94126

Knowledge, Attitudes, and Practice of mothers toward permanent and temporal contraindications of Breast Feeding in Taif city, Saudi Arabia
Manal El Nashar, Atheer Mohammed Al-fuhayd, Razan Abadel Algethami,
Abeer hammad Alharthi, Huda Abdullah Alessa, Areej mohmammed Abdullah
[pdf]
[Abstract]
DOI: 10.5742/MEWFM.2021.94129


Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE
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Email: aabyad@cyberia.net.lb
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medi+WORLD International
AUSTRALIA
Email: lesleypocock@mediworld.com.au
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September 2021 - Volume 19, Issue 9

Intertrochanteric Fracture Treated by Dynamic Hip Screw,
Aden, Yemen

Abdulsalam Abdullah Hadi Mohsen

Correspondence:
Abdulsalam Abdullah Hadi Mohsen
Associate Professor, Orthopedic Unit, Department of Special Surgery,
Faculty of Medicine, University of Aden,
Yemen
Email: al.ezz2007@yahoo.com

Received: July 2021; Accepted: August 2021; Published: September 1, 2021. Citation: Abdulsalam Abdullah Hadi Mohsen. Intertrochanteric Fracture Treated by Dynamic Hip Screw, Aden Yemen . World Family Medicine. 2021; 19(9): 31-38 DOI: 10.5742/MEWFM.2021.94122

Abstract

Objective: To evaluate the clinical outcomes of intertrochanteric fractures that were treated with Dynamic Hip Screw in Aden

Patients and method: This was a retrospective study of patients presenting with intertrochanteric fracture, to the Department of Orthopaedic Surgery at Algamhoria Teaching Hospital and at two private hospital in Aden, Yemen, during the period January 2018–December 2019. The patients were treated with Dynamic Hip Screw (DHS).

All information was obtained from the patient charts.

The collected data was tabulated and statistical analysis was done by estimating rates, means and standard deviations. Fisher test was used and p-value < 0.05 was considered as statistically significant. The statistical software package SPSS version 17 was used.

Results: Out of 48 patients, 29 patients were females (60.4%) and 19 patients (39.6%) were males and the mean age was 75.1±7.4 years. The mean age of male patients was 76.4 ± 6.9 years while for females was 74.2±7.7 years. The age ranged between 62 to 90 years.
The patients were categorized into 3 age groups: Group (I) 70 years old, (27.1%) were females and (10.4%) were males, Group (II) from 71 – 80 years old, (20.8%) were females and (14.6%) were males. Group (III) from 81 – 90 years old, (12.5%) were females and (14.6%) were males, (p > 0.05). Causes of injury were simple fall in most of the cases (79.1%).

The causes of injuries were significantly different among the age groups of patients (P < 0.05).

We found (58.3%) of intertrochanteric fractures were in the right side and (41.7%) were in the left side.

The stable fractures were (52.1%) while unstable fractures were (47.9%).

According to Evan classifications (31.3%) of the intertrochanteric fractures were classified as Type I and (20.8%) were classified as Type II. Type III were predominant with (47.9%).

Superficial stitch infection were (4.2%) and (4.2%) were deep infection.

Shortening of 1-2cm occurred in (10.4%) of patients. Mal-union occurred in (20.8%) cases. Delayed union occurred in (10.4%) cases.

Active physiotherapy is given regularly for delayed union. Deep vein thrombosis developed in (8.4%) of cases and pulmonary thrombosis occurred in (4.2%) of cases.

Conclusion: The dynamic hip screw is a modality of choice in patients with intertrochanteric fracture; it is effective, simple, and safe. Further studies are needed to compare between our modality and other modalities.

Key words: dynamic hip screw, intertrochanteric fracture, femur, Aden, Yemen







 


 
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