Comparative study between dynamic hip screw Vs proximal femoral nail for trochanteric fracture of femur
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 3
Abstract
Trochanteric fractures are among the most common fractures encountered by an orthopaedic surgeon. These fractures were commonly encountered in the elderly population. Proximal femoral nail (PFN) and Dynamic hip screw (DHS) being the most commonly used. There is increased in usage of nails in the management of this fracture. Both the implants have own complication. We included 50 consecutive patients with tronchandic fracture who underwent PFN/DHS were included in this study. We analyzed the for pain over the operated site, range of motion and Harris hip score, radiological assessment for the screw position and neck shaft angle and union of fracture were assessed in this both groups. Based on our study, though the blood loss, shortening, neck shaft angle, had significant difference in early follow up, The functional result remained the same both in DHS and PFN at 1 year follow up. Hence PFN/DHS are safe implant of choice in the management of this fracture.
Authors and Affiliations
Dr. Gokul Anand Murugesan, Dr. Dhiyanesh Krishnamurthy
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