A comparative prospective study of dynamic hip screw with traffon nail in the management of intertrochanteric fractures
Journal Title: MedPulse -International Medical Journal - Year 2016, Vol 3, Issue 6
Abstract
Context: To prospectively compare the rate of union, complications, operative risks and functional outcomes in intertrochanteric fractures treated with dynamic hip screw and traffon nail. To determine the effectivenes of traffon nail in comparison to dynamic hip screw in treatment of intertrochanteric fractures. Methods: Data was collected from the patients with intertrochanteric fractures admitted at Basaveshwara Teaching and General hospital, Gulbarga, Karnataka for the period of 2 years from February 2013 to March 2015. Cases operated with Traffon nail and DHS were selected, 30 cases of each Traffon Nail and DHS which met inclusion criteria were included in the study group. Cases were followed up at interval of 6 weeks, 3 months, 6 months and 1 year. These cases were evaluated at every visit clinically and radiologically, functional assessment was done by Kyle’s criteria. Results: The functional outcome was measured by Kyle’s criteria. In the Traffon nail group, 15(50%) patients had excellent result, 8(26.6%) patients had good results, 5 (16.6%) patients had fair results and 2(6.6%) had poor results. In the DHS group, 8(25%) patients had excellent results, 12(40%) patients have good, 7(21.9%) have fair and 3 cases (10%) have poor results. Conclusion: Although literature suggests that dynamic hip screw is the gold standard for treatment of stable and unstable intertrochanteric fractures, our study says that Traffon nail can be considered to be more judicial method of treating intertrochanteric fractures, especially the reverse and oblique variations, osteoporotic fractures. Functional results were better in the traffon nail group than DHS group according to Kyle’s criteria.
Authors and Affiliations
Pramod Itagi, Nishanth Panegaon
Keywords
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