A COMPARATIVE STUDY OF FUNCTIONAL OUTCOME BETWEEN DYNAMIC HIP SCREW AND PROXIMAL FEMORAL NAIL IN SURGICAL MANAGEMENT OF PER-TROCHANTERIC FRACTURES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2015, Vol 4, Issue 43
Abstract
[b]BACKGROUND[/b]: The choice of implant between the extramedullary Dynamic Hip Screw (DHS) and intramedullary Proximal Femoral Nail (PFN) in the surgical management of pertrochanteric fractures is still an enigma. Various meta-analysis conducted so far have yield conflicting results. [b]METHODS[/b]: Prospective randomized controlled study including 30 patients with 30 pertrochanteric fractures out of which 15 were treated with DHS and 15 with PFN. [b]RESULTS[/b]: The overall functional outcome of patients treated with the PFN was significantly better than those treated with DHS (p<0.037), especially in patients with unstable fractures. Other advantages of PFN included smaller incisions, shorter operative times, relatively less blood loss and less postoperative pain and early ambulation. [b]CONCLUSION:[/b] We conclude that in stable intertrochanteric fractures, both the PFN and DHS have similar outcomes. However, in unstable intertrochanteric fractures the PFN has significantly better outcomes in terms of earlier restoration of walking ability and less limb length shortening.
Authors and Affiliations
Umesh Shivanna, Girish Rudrappa
Keywords
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- EP ID EP143478
- DOI 10.14260/jemds/2015/1087
- Views 77
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