Comparative analysis of the functional outcome in intertrochanteric fractures between dynamic hip screw and proximal femoral nailing - A prospective study

R Sahaya Jose,K Visnu,R Manikandan,K Vivek

doi:10.18231/j.ijos.2020.043

Abstract

Comparative analysis of the functional outcome in intertrochanteric fractures between dynamic hip screw and proximal femoral nailing - A prospective study - IJOS- Print ISSN No: - 2395-1354 Online ISSN No:- 2395-1362 Article DOI No:- 10.18231/j.ijos.2020.043, Indian Journal of Orthopaedics Surgery-Indian J Orthop Surg

Highlights

Intertrochanteric fractures are predominately associated with trivial trauma among the geriatric patients
Among 70 patients of intertrochanteric fractures who were taken for Dynamic Hip screw (DHS), the mean age in years was found to be 67 years, and the mean age group in patients who were taken for Proximal Femoral Nail (PFN) is 66 years
Compared with unstable fractures treated with DHS, we have achieved good results for all unstable fractures treated with PFN. In this present study we assessed the functional outcome of dynamic hip screw and Proximal Femoral nailing in intertrochanteric fractures, we reached the following conclusions: 1. In view of less duration of surgery, small incision and less blood loss proximal femoral nailing can be comfortably used in elderly patients with other comorbities

Summary

Introduction

Intertrochanteric fractures are predominately associated with trivial trauma among the geriatric patients. The important purpose of surgical treatment have to be early mobilization to keep away from secondary complications, which is obtained by fixation of Dynamic Hip screw (DHS) or Proximal Femoral Nail (PFN). The aim of this study is to assess the functional outcome of dynamic hip screw and Proximal Femoral Nailing in intertrochanteric fractures using Harris hip score. Materials and Methods: In our prospective study, we compare the functional outcome in intertrochanteric fractures between dynamic hip screw and proximal femoral nailing. Conclusion: In this present study we assessed the functional outcome of dynamic hip screw and Proximal Femoral Nailing in intertrochanteric fractures using Harris hip score. In view of negligible complications and superior functional outcome, we suggest that Proximal Femoral Nailing is asuitable device for both stable and unstable intertrochanteric fractures than dynamic hip screw.

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Conclusion