Keywords : de-rotation boot cast
De-rotation boot cast and traction in intertrochanteric fracture hip: An implant guy’s envy and a government surgeon’s pride
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 2, Pages 267-273
Introduction: In this genre of AO principles, most of the fractures are fixed surgically unless it's a
hairline fracture or a very high risk patient with co-morbidities.
Material & methods: Our study involves 23 patients visiting a remote government medical college
with hip intertrochanteric fracture (IT) which were managed non-operatively due to co-morbidities
and/or patients not willing for operative management. All those patients were applied de-rotation boot
cast and applied 10% traction of their body weight over it. Clinical and functional outcome was
measured by Harris hip score at admission, 6, 12 and 18 months follow-up. Radiological evaluation
done by radiographs of hip-AP and lateral views.
Results: Statistical analysis was done using SPSS software for descriptive data. Paired ‘t’ test was
applied to see improvement in functional & clinical outcome (Harris hip score), first between 6 month
follow up and 12 month follow up & 18 month follow up and results were tabulated. The ‘p’ value was
< 0.01 for Harris hip scores analysis by ‘t’ pair test between 6, 12 and 18 months follow-ups and was
Conclusion: Operative treatment of intertrochanteric fractures though gives early mobilization and less
hospital stay, after one year of injury both non-operative and operative management are of less
significance with respect to mortality, functional outcome and medical complications.