COMPARATIVE STUDY BETWEEN DYNAMIC HIP SCREW AND PROXIMAL FEMORAL NAIL IN THE MANAGEMENT OF TROCHANTERIC FEMORAL FRACTURE

Dr. Partha Pal; Dr. Julfikar Ali

Volume : V, Issue : III, March - 2016

COMPARATIVE STUDY BETWEEN DYNAMIC HIP SCREW AND PROXIMAL FEMORAL NAIL IN THE MANAGEMENT OF TROCHANTERIC FEMORAL FRACTURE

Dr. Partha Pal, Dr. Julfikar Ali

Abstract :

Objectives: To compare functional outcome and complications associated with proximal femoral nailing, an intramedullary device with dynamic hip screw, an extra–medullary device in treatment of intertrochanteric fractures of femur. Methods: This prospective comparative study included 40 patients of intertrochanteric fractures in which 20 patients were treated by PFN and other by DHS. All patients were operated under image intensifier control. Average follow up of patients was 14months (12 to 20 months). Postoperatively functional and radiological outcome were assessed at regular intervals. Evaluation of the patients was done by using Harris Hip Scoring system. Results: Compared to DHS, PFN required less operative time, less blood loss, small incision, reduced hospital stay and early mobilization. However Harris Hip Score at the end of one year is same for both the groups. In the long term both the implant had almost similar functional outcomes. Conclusion: The DHS was tolerated better by young patients with stable fracture while PFN had a better outcome with osteoporotic patients and weak bone mass and reverse oblique fractures.