Comparative study of the management of inter-trochanteric fractures in the elderly: short proximal femoral nail vs dynamic hip screw

Agrawal Nargesh,Shahid Muhammad,Ak Mehra,Tiwari Ashok

doi:10.4038/sljs.v30i2.5176

Agrawal Nargesh, Shahid Muhammad + Show 2 more

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https://doi.org/10.4038/sljs.v30i2.5176

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Journal: Sri Lanka Journal of Surgery	Publication Date: Jan 27, 2013
Citations: 14	License type: cc-by

Affiliation: University of Kota

Abstract

The journal is the official publication of the College of Surgeons of Sri Lanka. Its mission is to reach the highest standard of scientific surgical practice by dissemination of high quality scientific information and to foster and promote the growth of scientific surgery in Sri Lanka and in the region. The Sri Lanka Journal of Surgery publishes peer-reviewed leading articles, review articles, scientific articles, perspectives and case reports in the field of surgery and broadly related surgical sciences The journal adheres to the publication ethics as portrayed by the Committee on Publication Ethics (COPE) and is a member of this organisation. It is listed as an ICMJE journal which follow its recommendations (ICMJE recommendations) on Conduct, Reporting, Editing and Publication of Scholarly Work in Medical Journals.

Highlights

Unstable intertrochanteric fractures of the femur are still a great challenge to surgeons with a dilemma of which implant is better
This is a randomized prospective comparative study of 96 patients over the age of fifty years in two study groups; the first group of 48 patients operated with short proximal femoral nail (Group 1, n=48) and the second group of 48 patients operated with dynamic hip screw and a side plate
Blood loss was less with proximal femoral nails (PFN) with mean 95 ml vs. 162 ml in dynamic hip screw (DHS); p

Summary

Introduction

Unstable intertrochanteric fractures of the femur are still a great challenge to surgeons with a dilemma of which implant is better. The incidence of hip fracture would be expected to double to 2.6 million by 2025 and 4.5 million by 2050 [1] , as the geriatric age population has been increasing. Conservative treatment for these type of fractures, with prolonged bed rest and traction has been associated with varus deformity and shortening, along with the general complications associated with prolonged immobilization. Shaft fixation is nearer to the centre of rotation of hip, as the load transmitted to the femur along with a more medial axis, has a shorter moment arm [6,7,8]

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