Comparison of dynamic compression screw with trochanteric stabilization plate vs proximal femoral nail in intertrochanteric fracture

Abstract

Background: Fracture of hip is long considered a major contributor to disability. Unstable trochanteric fractures with coronal split continue to be a challenge for orthopaedic surgeons. Objective: Comparison of dynamic compression screw with trochanteric stabilization plate vs proximal femoral nail in intertrochanteric fracture. Methodology: The current study was prospective cohort study, carried out at the Department of Orthopedic Surgery, Hayatabad Medical Complex, Peshawar for duration of six months after approval of synopsis. Patients were divided into two groups each having 63 patients. Group DHS/TSP was treated by Dynamic hip screw with Trochanteric Stabilizing Plates and Group PFN was treated by Proximal Femoral nail. On each visit X-ray of hip Harris Hip Score was calculated. Data was analyzed by statistical analysis program (IBM-SPSS.Version.23). Results: In the current study, a total of 126 patients were enrolled. There were 63 patients in DHS/TSP group and 63 in PFN group. The mean age (SD) in DHS/TSP group was 56 (8.14) years while the mean age (SD) in PFN group was 58 (7.25) years. The mean (SD) incision length in DHS/TSP group was 7.60 (0.8) cm while in PFN group it was 4.68 (0.49) cm.