scholarly journals Prospective randomised control study of role of proximal femur nail and dynamic hip screw and plate in unstable intertrochanteric fractures of the femur in elderly

2018 ◽  
Vol 4 (2l) ◽  
pp. 812-815
Author(s):  
Naveen PR ◽  
Kiran Kumar HG ◽  
Chaitanya PR ◽  
Ramachandra N Badami
Keyword(s):  
Proximal Femur ◽  
Dynamic Hip Screw ◽  
Intertrochanteric Fractures ◽  
Hip Screw ◽  
Proximal Femur Nail ◽  
Fractures Of The Femur ◽  
Control Study

scholarly journals Comparative study of fixation of intertrochanteric fracture of the femur by proximal femur nail versus dynamic hip screw

2020 ◽  
Vol 6 (4) ◽  
pp. 717
Author(s):  
H. B. Shivakumar ◽  
Ramalingaiah Yatish ◽  
Channappa T. Seetharam ◽  
Manju Jayaram ◽  
Amith Kamath K.
Keyword(s):  
Functional Outcome ◽  
Proximal Femur ◽  
Dynamic Hip Screw ◽  
Harris Hip Score ◽  
Functional Evaluation ◽  
Intertrochanteric Fractures ◽  
Age Group ◽  
Hip Screw ◽  
Proximal Femur Nail

<p class="abstract"><strong>Background:</strong> Intertrochanteric fractures are common in old age group, but uncommon in younger age group. The goal of treatment of intertrochanteric fractures is restoration to pre-injury status at the earliest. The purpose of this study is to compare the functional outcome of the two fixation devices proximal femur nail (PFN) and dynamic hip screw available for intertrochanteric fractures in terms of the eventual functional outcome of the patient.</p><p class="abstract"><strong>Methods:</strong> Prospective study of 30 cases of Intertrochanteric fractures admitted and operated in KIMS hospital from November 2017 to May 2019. Follow-up of these patients was done at 6 weeks, 12 weeks and 24 weeks with functional evaluation was done using Harris hip score at the 24th week.<strong></strong></p><p class="abstract"><strong>Results:</strong> The results at the end of 24 weeks follow-up were calculated by the Harris hip score were better with the PFN. 66.7% of the patients operated with PFN gave excellent results as compared to 60% of patients operated with dynamic hip screw (DHS).</p><p class="abstract"><strong>Conclusions:</strong> We conclude that the use of PFN for the fixation of trochanteric fractures against the proven DHS offered better results along with a few advantages. PFN required smaller incision, shorter duration of surgery, less blood loss and faster recovery and better functional outcome at the end of 24 weeks. But still PFN is technically more demanding than the DHS and was found to have longer fluoroscopy exposure.</p><p class="abstract"> </p><p> </p>

Sign in / Sign up

Export Citation Format

Share Document