Comparative analysis between dynamic hip screw and proximal femoral nail the management of intertrochanteric femoral fracture
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 1
Abstract
Peritrochanteric fractures are common in the elderly people. The frequency of these fractures has increased primarily due to the increasing life span and more sedentary life style brought on by urbanization. There are various forms of internal fixation devices used for Peritrochanteric Fractures. The most commonly used devices are the Dynamic Hip Screw (DHS) with Side Plate assemblies and proximal femoral nail (PFN). The present study was conducted in 30 cases of stable intertrochantric fractures of femur, classified according to AO classification. All patients were regularly followed up and Harris Hip Score was used for evaluation for the results. All the patients of stable intertrochantric fracture treated with PFN or DHS were allowed partial weight bearing at 4 weeks and full weight bearing at 15 weeks. Most of the patients treated with DHS had excellent outcome (86.66%) as compare to the patient treated with PFN having excellent outcome in 53.33%. Among complications for PFN difficult reduction was seen in 1 patient (6.6%), greater trochanter fracture was seen in 1 patient (6.6%), Hip pain was seen in 1 patient (6.6%) and shortening (> 1cm) was seen in 1 patient (6.6%). In DHS, common complications were superficial infection in 1 patient (6.6%), Hip Pain in 1 patient (6.6%) and shortening (> 1cm) in 3 patients (20%). The range of motion calculated by the Harris Hip Scoring system treated by both the implants i.e. PFN and DHS was good and was almost the same (95% CI:0.83P1.30,P=0.72). Both implants had equal time of union and had few complications in stable fractures but at long term follow up most of patient operated with PFN complained of implant related complications like greater trochanter Pain and anterior thigh pain.
Authors and Affiliations
Dr. Deepinder Chaudhary, Dr. Pawan Kumar, Dr. Ravi Mehrotra, Dr. Manrattan Bhathal, Dr. Pratik Patel, Dr. Ashwani Singh
Keywords
Related Articles
- EP ID EP485324
- DOI 10.22271/ortho.2018.v4.i1g.67
- Views 106
- Downloads 0
Mid term results of staged management of high-energy proximal tibia fractures
Background: Proximal tibial fractures with high energy trauma are extremely complex injuries with significant associated soft-tissue damage. This Retrospective study was used to evaluate the results of staged management...
Early clinical results of volar plate arthroplasty for neglected fracture dislocations of pip joint in hand
We present the early clinical results of volar plate arthroplasty for neglected fracture dislocation of PIP joint in hand, as they most commonly dislocated and are difficult to treat. At one year follow up, patient showe...
Functional outcome of posterior laminectomy in case of cervical myelopathy with multilevel cervical cord compression
Objective: The primary objective is to study the functional outcome of cervical laminectomy with or without instrumentation for cervical myelopathy in case of multilevel cervical cord compression using modified JOA and N...
Results of arthroscopic rotator cuff repair
Background: Rotator cuff disease is one of the most common condition afflicting shoulder joint. It includes spectrum from minimal bursal/articular inflammation of tendons to severe degenerative cuff tear/arthropathy. Wit...
Mid-term results of high tibial osteotomy for medial compartment arthritis using hemicallostasis by dynamic external fixator
Introduction: Medial Gonarthrosis of Knee in middle-aged (40-60yrs) physically active individuals has become a considerable cause for pain, immobility and disability. Varus malalignment at knee joint compromises biomecha...