A PROSPECTIVE COMPARATIVE STUDY EXAMINES THE FUNCTIONAL OUTCOME OF MANAGING INTERTROCHANTERIC FRACTURES OF THE FEMUR USING DYNAMIC HIP SCREW AND PROXIMAL FEMORAL NAIL: A COHORT STUDY.

Nischay  Kaushik; Mohsin  Parvez; Reetesh  Roshan; Shams  Sabeeb

doi:10.51168/sjhrafrica.v5i6.1276

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 as simple accidents, are 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 proximal femur nail (PFN) and dynamic hip screw (DHS). This study aimed to evaluate the efficacy of PFN and DHS therapies in terms of patient compliance and long-term healing.

Materials and Procedures

This current prospective comparative study was carried out. Random treatments were administered for intertrochanteric fractures, utilizing either the PFN or DHS. Each one of the forty instances was included. Twenty patients were categorized into two categories, with twenty PFN in the second category and twenty DHSs in the first. Following therapy, each patient was monitored for nine months.

Results

The PFN group showed better functional outcomes than the DHS group, with higher Harris Hip Scores (HHS) at all follow-ups. At one month, the PFN group had a mean HHS of 33.15 ± 2.50 compared to 21.00 ± 0.75 in the DHS group (p<0.0001), and at nine months, 94.70 ± 2.60 vs. 90.80 ± 0.80 (p=0.0001). The PFN group also had less blood loss (172.31 ± 11.86 mL vs. 279.72 ± 18.62 mL, p<0.0001) and smaller incisions (4.67 ± 0.89 cm vs. 8.52 ± 1.56 cm, p<0.0001), while hospital stay duration was similar between groups.

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.

Recommendation

The PFN is recommended for treating intertrochanteric fractures, particularly in elderly osteoporotic people, as per this study. Function, blood loss, and incisions are better with PFN than with the dynamic hip screw.