A Retrospective Comparative Analysis Of Dynamic Hip Screw Fixation And Proximal Femur Nailing In Osteoporotic Intertrochanteric Femur Fractures
Intertrochanteric fractures, the commonest of hip fractures especially in older age groups with osteoporotic bones are more common in women and its most common mode of injury is trivial fall.1The aim of management of an intertrochanteric fracture is the recovery of the patient back to optimal function and prevention of future hip fractures.2 The two types of implants used for internal fixation of these fractures are DHS and PFN.3 Intramedullary devices like the PFN has advantage in these fractures as they lie close to the mechanical axis of the limb, and hence the rate of implant failure is lesser.4AIM OF THE STUDY:To assess the advantages of proximal femoral nail in terms of fracture union, anatomical reduction and also the functional outcome compared to the patients treated with DHS.MATERIALS AND METHODS: This retrospective study was conducted among forty patients with intertrochanteric fracture(stable and unstable) who had radiological evidence of osteoporosis(Singhs index) and were treated by PFN or DHS. The results were compared for functional outcome using Modified Harris Hip score RESULTS: Pain is significantly lesser in patients managed by PFN. Limb length discrepancies occur at higher rate in the patients managed by DHS. In both stable and unstable intertrochanteric fractures, patients treated with PFN, had significantly better outcomes. CONCLUSION:From our study, we consider PFN as better alternative to DHS in treatment of intertrochanteric femur fractures.
Cite This Article:
A RETROSPECTIVE COMPARATIVE ANALYSIS OF DYNAMIC HIP SCREW FIXATION AND PROXIMAL FEMUR NAILING IN OSTEOPOROTIC INTERTROCHANTERIC FEMUR FRACTURES, Dr Nalli R Gopinath, Dr M .Sundar Prakash, Prof M Sudheer, Prof N Deen Muhammad Ismail, INTERNATIONAL JOURNAL OF ADVANCES IN ORTHOPAEDICS : Volume-6 | Issue-2 | May-2022
Number of Downloads : 13