Abstract
A STUDY TO COMPARE OUTCOME OF PROXIMAL FEMORAL NAILING AND DYNAMIC HIP SCREW FIXATION FOR INTERTROCHANTERIC FRACTURES OF FEMUR

Dr. Mallikarjun G B*, Dr. Arunkumar N K

ABSTRACT

Objective: To compare functional outcome and complications associated with proximal femoral nailing, an intramedullary device with dynamic hip screw, an extra-medullary device in treatment of intertrochanteric fractures of femur. Methods: This prospective comparative study included 60 patients of intertrochanteric fractures in which 30 patients were treated by PFN and other by DHS. All patients were operated under image intensifier control. Average follow up of patients was 14months (12 to 20 months). Postoperatively functional and radiological outcome were assessed at regular intervals. Evaluation of the patients was done by using Harris Hip Scoring system. Results: Compared to DHS, PFN required less operative time, less blood loss, small incision, reduced hospital stay and early mobilization. However Harris Hip Score at the end of one year is same for both the groups. Conclusion: We suggest PFN is implant of choice for management of intertrochanteric fractures. However as DHS is low cost implant and lesser fluoroscopy exposure is required, it still remains to be the gold standard for stable non-osteoporotic intertrochanteric fractures.

Keywords: Intertrochanteric fractures, Dynamic hip screw, proximal femoral nail.


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