Assessment of patients undergoing treatment for inter-trochanteric fractures of femur: A comparative study

Abstract

Background: The incidence of intertrochanteric fractures is gender and race dependent and varies from country to country. Dynamic hip screw (DHS) is the most commonly used implant and is considered gold standard. Current preferred treatment shows an inclination towards use of proximal femoral nail (PFN) and gamma nail. Hence; we planned the present study to assess and compare the outcome of intertrochanteric fractures patients treated with DHS and PFN. Materials & methods: The present prospective study included assessment of 20 patients. All the patients were broadly divided into two study groups with 10 patients in each group. Group 1: Closed reduction and fixation with proximal femoral nail (PFN), and Group 2: Closed reduction and fixation with dynamic hip screw (DHS).A detailed history, preoperative and postoperative clinico-radiological examination was carried out in all 20 cases. Complete hematological and radiographic examination was done in all the patients. Treatment of patients of both the study groups was done depending upon the type of treatment protocol followed. Patients were re-called for follow up after every three weeks till union occurs and then were assessed according to Harris Hip score. All the results were analyzed by SPSS software. Results: There were 13 (65%) males and 7 (35%) females in the study population. We observed non- significant difference while comparing the harris hip score in patients of both the study groups. Conclusion: No significant difference occurred between the two modalities in terms of long term mobility and fracture union.