Proximal femoral nailing versus dynamic hip screw device for trochanteric fractures - A comparative study
International Journal of Orthopaedics Sciences
Intertrochanteric fractures were found to be most common fracture in patients over sixty years of age. As fracture occurs through the cancellous bone with excellent blood supply, they healed with conservative treatment and usually resulted in malunion. The goal of treatment of an intertrochanteric fracture is the restoration of the patient to his or her pre-injury status as early as possible leads to internal fixation of these fractures to increase patient comfort, decrease hospital stay and
... ospital stay and reduces complications. Sliding devices like the dynamic hip screw have been extensively used for fixation. Intramedullary devices like the proximal femoral nail have been reported to have an advantage in such fractures as their placement allowed the implant to lie closer to the mechanical axis of the extremity. The purpose of the present study is to verify the theoretical advantages of the proximal femoral nail over the dynamic hip screw device 50 patients with intertrochanteric fracture who were available for follow up of for 1 year post operatively were included in this study. The patients were selected for Dynamic hip screw fixation or proximal femoral Nailing randomly. The study period was from April 2015 till March 2016. All the cases were evaluated at 6weeks, 12weeks, 6months and 1 year. Assessment done on the basis of Duration of surgery, Blood loss, early weight bearing, union, deformity and limb length discrepancy.