A Prospective Comparative Study Examines the Functional Outcome of Managing Intertrochanteric Fractures of the Femur Using Dynamic Hip Screw and Proximal Femoral Nail

Authors

  • Nischay Kaushik Senior Resident, Department of Orthopaedic, Dr Ambedkar Medical College and Hospital, Delhi, India
  • Mohsin  Parvez  Senior Resident, Department of Orthopaedic, IGIMS, Patna, Bihar, India
  • Reetesh Roshan Senior Resident, Department of Orthopaedic, IGIMS, Patna, Bihar, India
  • Shams Sabeeb Junior Resident (Academic), Department of Orthopaedic, IGIMS, Patna, Bihar, India

DOI:

https://doi.org/10.51168/sjhrafrica.v5i6.1276

Keywords:

intertrochanteric fracture, Dynamic hip screw, proximal femoral nail

Abstract

Overview: Low-energy wounds, such simple accidents, is usually the cause of intertrochanteric fractures, which are often experienced fractures of the hip, particularly in older individuals with osteoporotic bones. Intertrochanteric fractures have been treated with PFN and DHS.

Materials and Procedures: This current prospective comparative study was carried out over a 12-month period, at IGIMS Patna, Department of Orthopedics. Random treatments were administered for intertrochanteric fractures, utilizing either the proximal femoral nail (PFN) or Dynamic Hip Screws (DHS). Each and every one of the forty instances was included. Twenty patients were categorized into two categories, with twenty PFN in the second category and twenty Dynamic Hip Screws in the first. Following therapy, each patient was monitored for nine months.

Results: PFN categories in the current study showed a higher Harris Hip score (HHS). At each follow-up, their intercategory assessment of the Harris Hip score between the PFN and DHS categories showed notable variations. In addition, the PFN category had lower minimum blood loss, shorter surgical times, and smaller incisions than the DHS category; these differences were statistically significant. The mean hospital stay did not exhibit any noteworthy variations either.

Conclusion: PFN is a better fixing method for femur intertrochanteric fractures. The requirement will be met to the degree that it will increase the research's reliability and generalizability.

Published

2024-06-30

How to Cite

Kaushik, N., Parvez, M., Roshan, R. ., & Sabeeb, S. . (2024). A Prospective Comparative Study Examines the Functional Outcome of Managing Intertrochanteric Fractures of the Femur Using Dynamic Hip Screw and Proximal Femoral Nail. Student’s Journal of Health Research Africa, 5(6). https://doi.org/10.51168/sjhrafrica.v5i6.1276

Issue

Section

Section of Orthopedics