COMPARISON OF OUTCOME OF INTERTROCHANTERIC FRACTURES TREATED WITH DYNAMIC HIP SCREW VERSUS PROXIMAL FEMORAL NAIL

Tushar Rathod, Abhina Jogani

Abstract


We retrospectively analysed 148 patients with intertrochanteric femoral fracture treated using either the dynamic hip screw or the proximal femoral nail & compared functional and radiological outcome.Patients with PFN(n = 74) had recovered their pre-operative walking ability significantly(p < 0.05) more frequently at the six-month analysis than those with DHS(n = 74).Peri-operative or immediate post-operative parameters did not vary between groups.Functional outcome was analysed using Harris Hip Score and radiological findings were compared at 3, 6, and 12 months postoperatively.The DHS permitted a significantly larger compression at the fracture site during the follow-up evaluations, but union at the fracture site was comparable between the two groups.3 major failure of reduction were reported in each group, resulting in a total of 6 revision operations.We can conclude from our study that the PFN results in sooner postoperative recovery of walking ability as compared to DHS in short-term.


Keywords


Intertrochanteric Fractures, Dynamic Hip Screw, Proximal Femoral Nail

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References


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