A comparative study of dynamic hip screw and proximal femoral nail in the management of intertrochanteric fractures of femur

Dr. Saurabh Agrawal, Dr. Vishal Patil, Dr. Clevio Desouza
2019 International Journal of Orthopaedics Sciences  
The aim of this study was to compare the outcomes of proximal femoral nail (PFN) and dynamic hip screw (DHS) in treatment of intertrochanteric fractures. Material and Methods: This was a prospective study conducted between June 2016 and June 2018. The total numbers of cases included in our study was 50 which were equally divided into two groups: one operated with DHS and other with PFN. Follow up was done at 2, 4, 6 weeks, 3 months, 6 months, and 1 year after the surgery. The patients were
more » ... patients were assessed functionally on the basis of Harris Hip Score and radiologically in the form of anteroposterior and lateral X-rays of the operated hip. The post-operative pain was also assessed as per the Harris Hip Score criteria at the end of 1 year and the post-operative gait was also assessed at the end of 1 year. Union was decided on the basis of obliteration of fracture line with bridging callus so as to allow unprotected function of the limb. Results: The results showed that the PFN group had significantly less operative time, intraoperative blood loss, and length of incision than the DHS group. No significant differences were found between the 2 groups regarding postoperative infection rate, lag screw cut-out rate, or reoperation rate. Conclusion: The current evidence indicates that PFN may be a better choice than DHS in the treatment of intertrochanteric fractures.
doi:10.22271/ortho.2019.v5.i2d.40 fatcat:cfk76ftz5raofjnnqumw3wsb7u