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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