A Comparative Study, Proximal Femoral Nailing(PFN) and Dynamic Hip Screw(DHS) in Intertrochanteric Fracture Femur.

Ravi Ranjan Kumar; Manoj Kumar; Saurabh Kumar

Volume : V, Issue : XI, November - 2016

A Comparative Study, Proximal Femoral Nailing(PFN) and Dynamic Hip Screw(DHS) in Intertrochanteric Fracture Femur.

Ravi Ranjan Kumar, Manoj Kumar, Saurabh Kumar

Abstract :

Background: operative treatment is appropriate for most intertrochanteric fractures. Optimal fixation technique is based on the fracture pattern & stability of fragments. The mainstay of treatment of intertrochanteric fracture is fixation with a sliding screw plate device or intramedullary device. Method: A prospective randomized and comparative study of 1 years duration was conducted on 64 patients admitted in the Department of Orthopedics MGM Medical College & LSK Hospital,Kishanganj,Bihar with intertrochanteric femur fracture. They were treated eighter by dynamic hip screw(DHS) and proximal femoral nail(PFN). Operations were done under image intensifier control. The parameters studied were functional outcome of Harris hip score, total operation time, rate of union, amount of collapse. These values were statistically evaluated and two tailed p–values were calculated and both groups were statistically compared. Result: The average age of our patient is 73.84 years. The average blood loss was 150ml and 350 ml in PFN and DHS group respectively. The average operating time for PFN was 59.27 min as compared to 89.78 min in patients treated with DHS. The patients treated with PFN started early weight be� as the implant construct was more stable and had better Harris Hip Score in the early postoperative period (at 1 and 3 months). In the long run both the implants had almost similar functional outcomes. Conclusion: In our study we have concluded that the unstable fracture(3–4 pices) as well as reverse oblique fracture when treated by PFN had a better outcome. PFN group has less blood loss and less operating time compared to DHS group. In PFN group patients have started early ambulation compared to DHS group.