AIMSTo compare the clinical and radiological outcomes of Proximal femoral nail and Dynamic hip screw fixation. SETTINGS AND DESIGNProspective study of forty patients with Intertrochanteric fracture of femur presenting to our hospital from the year 2013 to 2015, who were treated with either proximal femoral nail or dynamic hip screw. METHODS AND MATERIALSThe study material includes data collection, clinical examination and investigations of 40 patients who underwent either Dynamic hip screw or Proximal femoral nail. Out of 40 patients, twenty patients had undergone Proximal femoral nailing and twenty patients had undergone Dynamic hip screw fixation. All surgeries done on traction table and are followed up at regular intervals of 4 weeks, 8 weeks, 12 weeks, 6 months and annually thereafter. The clinical and functional results were assessed at follow-up. RESULTSThe overall functional outcome of patient treated PFN was significantly better compared to DHS. However, when we compared the stable and unstable fractures separately, we found that there was no significant difference in the outcomes of the stable fractures in the two groups. Patients with proximal femoral nailing had significantly lower pain score at the 6th month follow-up. CONCLUSIONSWe conclude that in stable intertrochanteric fractures, both the PFN and DHS have similar outcomes. However, in unstable intertrochanteric fractures the PFN has significantly better outcomes in terms of earlier restoration of walking ability. In addition, as the PFN requires shorter operative time and a smaller incision, it has distinct advantages over DHS even in stable intertrochanteric fractures. Hence, in our opinion, PFN may be the better fixation device for most intertrochanteric fracture.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.