Abstract
Background: Intertrochanteric fractures can be treated, both by conservative and operative methods depending upon the status of the patient. The purpose of this study was to assess the functional outcome of intertrochanteric fracture of femur treated with dynamic hip screw (DHS) with de-rotation screw comparing and proximal femoral nail (PFN).Methodology: We compared 30 (male: 23, female: seven) cases of intertrochanteric fractures with a mean age of the population was 65 years and male to female ratio in was 2.75:1. Patients were recruited in this study having inclusion criteria of adults above 50 years of age, isolated intertrochanteric fractures of the AO Foundation/Orthopaedic Trauma Association (AO/OTA) type A1 and A2, fracture less than two weeks, and intertrochanteric fracture with or without distal extension.Results: Post-operatively, patients treated by either of these two methods were statistically analyzed in terms of comparing advantages and disadvantages in terms of the time of fracture union and outcome of both above-mentioned procedures using Harris hip score.Conclusion: PFN gives better results than DHS with De-Rotation Screw-in intertrochanteric fractures in terms of the amount of blood loss during surgery, duration of surgery, early toe-touch weight-bearing, and Harris hip scores. There is no difference between the two modalities in terms of duration of hospitalization, fracture union, mortality and morbidity, and postoperative complications.
Highlights
Fractures of the proximal femur and hip are relatively common injuries in adults
We studied 30 cases of intertrochanteric fracture femur patients more than 50 years old, which were managed with a proximal femoral nail or dynamic hip screw with a de-rotation screw
In the proximal femoral nail (PFN) group, fall and Road Traffic Accident (RTA) were responsible for trauma in 12 and three patients, respectively
Summary
Fractures of the proximal femur and hip are relatively common injuries in adults. Several epidemiological studies have suggested that the incidence of fractures of the proximal femur is increasing. The incidence of intertrochanteric fracture is rising because of the increase in the number of elderly populations superadded with osteoporosis. These fractures are three to four times more common in women, and the mechanism of injury is usually due to low-energy trauma like a simple fall [1]. The purpose of this study was to assess the functional outcome of intertrochanteric fracture of femur treated with dynamic hip screw (DHS) with de-rotation screw comparing and proximal femoral nail (PFN)
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