A surgical management of pertrochanteric fractures of femur by dynamic hip screw and proximal femoral nail
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 1
Abstract
The incidence of femoral fractures at hip region is increasing with advancement of age in population, globally. Surgical treatment with stable fixation reduces fracture associated complications and helps in regaining of mobility. Dynamic hip screw (DHS) and proximal femoral nail (PFN) are main types of fixations for trochanteric fractures. This study was designed to assess the efficacy of DHS and PFN in trochanteric fractures of femur. A total 50 patients with type I, II, III intertrochanteric and subtrochanteric fractures of femur as per Boyd and Griffin’s classification, Seinsheimer’s classification and Evans classification were included and were managed operatively by internal fixation with dynamic hip screw (DHS) and proximal femoral nail (PFN). 48% cases in DHS and 44% cases in PFN undergone with surgery within 5 days after injury. In PFN, the range of lag screw length was between 70mm to 95mm whereas in DHS, range was in between 65mm to 100mm. In intra operative complications of this study, there was ill fitting jig in 24% cases of PFN and in DHS method includes shattering of lateral cortex (8%) and difficulty in reduction (8%). Average time for fracture union in this study was between 14-17 weeks. In 12% cases varus deformity was observed in both groups and on an average 82% cases had good range of movement at hip joint in PFN and DHS groups. It was concluded that proximal femoral nail and dynamic hip screw were ideal treatment modalities to treat inter trochanteric and sub trochanteric fractures of the femur.
Authors and Affiliations
Dr. KV Dhanwantary Naidu
Keywords
Related Articles
- EP ID EP485302
- DOI 10.22271/ortho.2018.v4.i1f.56
- Views 103
- Downloads 0
Effectiveness of ultrasound therapy versus steroid injection in plantar fasciitis patients in western region of Nepal
Background: Plantar fasciitis is a common painful disorder affecting the heel and plantar aspect of the foot. There are various methods of treatment like steroid injection, nonsteroid anti-inflammatory medication, iontop...
Study of outcome of conservative management in osteochondritis dissecans of trochlea
Introduction: Osteochondritis dissecans (OCD) of elbow has been known to be one of the causes of chronic pain in elbow region, targeted population being children and adolescents. Usual location was thought to be capitell...
Chronic haematogenous osteomyelitis of fibula diaphysis with pathological fracture and review of literature
Introduction: Management of fibular osteomyelitis presents various challenges with respect to stability of ankle mortise, poor quality of periosteum and fibular pseudoarthrosis. Case History: We present a case of a 6 ye...
Volar locking plate in intra-articular fracture lower end radius
Introduction: Fractures of the distal radius recently have become the focus of an intense resurgence in interest regarding optimal management. The overly optimistic attitude that a favourable outcome will eventuate, desp...
Prospective study on functional outcome and role of hybrid external fixators in complex tibial plateau fractures
Introduction: Tibial plateau fractures are common due to high energy injuries. The principles of treatment include respect for the soft tissues, restoring the congruity of the articular surface and reduction of the anato...