Assessment of Efficacy of Dynamic Hip Screw and Proximal Femoral Nail in the Treatment of Inter-Trochanteric Fracture of Femur: A Comparative Study
Journal Title: Harsukh Educational Charitable Society International Journal of Community Health and Medical Research - Year 2018, Vol 4, Issue 3
Abstract
Background: The frequency of hip fracture has been increasing with an aging amongst population in different parts of the world, and the quantity of hip fractures is expected to influence around 512,000 in the year 2040. The proximal femoral nail presented by the AO/ASIF group in the year 1998 and has become prevalent in managing trochanteric fractures in the recent years. The present study was conducted to prospectively assess the Efficacy of Dynamic Hip Screw and Proximal Femoral Nail in the Treatment of Inter-Trochanteric Fracture of Femur. Materials and methods: The present study was conducted prospectively in the department of orthopedics for a duration of 1 year. A standard surgical procedure was used for the management of the subjects. Proximal femoral nail of 240mm was used. The total duration of surgery, amount of blood transfusion, amount of blood loss and the complications occurring intraoperatively were noted. Student test and chi square test were used to perform the statistical analysis. Probability value of less than 0.05 was considered as significant. Results: There were 40 subjects enrolled in the study, with 20 subjects in each group. The mean age of the subjects was 55.43 +/-2.89 years. The mean intraoperative time in Group I was 103.9±34.72 minutes and in group II was 87.7±21.7. There was no significant difference between the two groups. There were 3 cases of bed sore in Group I and no case of bed sore in Group II because of early mobilization. Two cases in both the groups presented with urinary tract infections. Conclusion: Out of the varied options available, the present study compared proximal femoral nailing and dynamic hip screw and found that there was no significant difference between the groups. The amount of blood loss varied significantly between the groups rest all variables showed insignificant difference.
Authors and Affiliations
Kailash Parihar, Ambadan Rao
Keywords
Related Articles
- EP ID EP492430
- DOI -
- Views 110
- Downloads 0
Assessment of Survival Rate in Cases of Hemorrhagic Shock - A Clinical Study
Background:Hemorrhage occurs when there is excessive external or internal blood loss. Shock occurs when there is hypoperfusion of vital organs. The present study was conducted in the department of general medicine. Mater...
Comparison Of PONV Score Using Ringer’s Solution And 5% Dextrose In Patients Of Laproscopic Cholecystectomy- A Clinical Study
Background: Post-operative nausea and vomiting (PONV) is a common and distressing complication after anaesthesia and surgery. The present study was conducted to determine the effect of dextrose in LC patients in preventi...
Prevalence of musculoskeletal disorder among agricultural workers in rural area of Tamil Nadu: A cross sectional study
bstract agriculture related activities. Due to exposure to multiple external factors, these workers are prone to develop various health problems and musculoskeletal disorders are one among them. Objectives: The study foc...
Assessment of cleaning efficacy of Mtwo NiTi rotary files and Hand K-files: A comparative in-vitro study
Background: Rotary instruments enhance the quality of obturation by providing conical shape to the root canal. Abstract Nickle titanium (NiTi) alloy instruments inherent flexibility that allows the files to preserve the...
The Evaluation Of Risk Factors For Metabolic Syndrome In Chronic Obstructive Pulmonary Disease Patients
Background: The complex interaction of genetic and environmental factors is a common feature of MetS and COPD. The aim of this study was to investigate the frequency of MetS in patients with COPD and to assess the status...