Title: Management of unstable inter-trochanteric fractures by Dynamic Hip screw versus Proximal Femur Nailing- A Comparative Analysis
Authors: Dr Surendar Singh Bava, Dr Tushar Kadam
DOI: https://dx.doi.org/10.18535/jmscr/v5i9.13
Abstract
Background: The aim of this study was to compare the outcomes of proximal femoral nail (PFN) and dynamic hip screw (DHS) in treatment of unstable intertrochanteric fractures.
Material and Methods: In our study, we included 80 unstable intertrochanteric fractures, out of which 40 were treated with PFN and 40 were treated with DHS. The surgeries were performed on traction table and were followed up at regular intervals at 2 weeks, 4 weeks, 6 months and annually thereafter.
Results: The functional results were evaluated with Harris Hip Score. At most recent follow up, Patients with excellent results were 23 (46%) in group A and 20 (36%) in group B while patients with good results were 15(28%) in group A and 20(45%) in group B. Differences were observed to be statistically significant difference between two groups in view of late & early complications and time to union. Better outcomes were noted in PFN group for unstable intertrochanteric fractures.
Conclusions: We concluded that PFN may be the better fixation device for most unstable inter-trochanteric fractures.
